tag:blogger.com,1999:blog-39683942071890126942018-12-03T22:37:33.031-08:00IMJ Health: Medical Research Journal ArchivesAnonymousnoreply@blogger.comBlogger84125tag:blogger.com,1999:blog-3968394207189012694.post-16655197637681412862018-06-01T00:20:00.003-07:002018-06-01T00:20:50.934-07:00Medical Journal- May 2018<a href="http://imjhealth.org"><img class="alignnone wp-image-31 size-full" src="https://www.adpublications.org/wp-content/uploads/2018/02/medical-journal-cover-page-2018.jpg" alt="Medical Journal: Published volume-4, Issue-5, May 2018 with ad publications" width="100%" height="40%"></a><h2 style="text-align: center;"><span style="text-decoration: underline;"><strong><a href="http://www.adpublications.org/health-and-physical-development-problems-in-undergraduate-students-and-comparison-of-opinion-between-males-and-females-regarding-helpfulness-of-guidance-and-counselling-services-to-cope-with-their-hea/"><span style="color: #ff0000; text-decoration: underline;">Health and physical development problems in undergraduate students and comparison of opinion between males and females regarding helpfulness of guidance and counselling services to cope with their health and physical development problems</span> </a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Adolescent health and physical development problems are important issue in student life; there are many helpful services to cope with these problems. This study was conducted on 240 students (120 males and 120 females) to know their health and physical development problems and to compare the response of males &amp; females for helpfulness of guidance and counselling services to help them to cope with their health and physical development problems. Study was done at Rajamagala University of Technology Thanyaburi, Pathum Tani Province, Thailand. This study used the Mooney Problem Checklist, College Form which contains 30 statements and the six scales of guidance and counselling service namely Individual and Group Counselling, Consulting, Guidance, Coordination, Assessment, and 3 Personal Growth and Development. Study population was randomly selected 240 undergraduate students from eight difference faculties’ v.i.z. Agricultural Technology, Business Administration, Engineering, Fine and Applied Arts, Home Economics Technology, Liberal Arts, Science and Technology, and Technical Education. This study observed that out of 120 male Thai undergraduate students, 113 (94.2%) male students said that they have troubled with their feet. Otherwise, 119 (99.2%) female students argued that they have not as strong healthy as they should be and they have had poor complexion or skin trouble (N = 120).The result of t-test analysis showed that there was a significant different between Thai male and female students on the helpfulness of individual and group counselling service (N = 120, t (118) =0.903, p = 0.015) consultation service (N = 120, t (118) = 0.983, p&lt;0.001), guidance service (N = 120, t (118) = 0.903, p = 0.015), coordination service (N = 120, t (118) = 0.744, p = 0.017), assessment service (N = 120, t (118) = 0.969, p = 0.002), and personal growth and development service (N = 120, t (118) = 0.902, p = 0.015) provided by the guidance counsellor in helping undergraduate students to cope with their health and physical development problems at a significant level of 0.05.</p><p style="text-align: justify;"><strong>Keywords: </strong><strong>Guidance and Counselling Services, Health and Physical Development Problems, Undergraduate Students.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-May-2018/IMJH-MAY-2018-3.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/a-comparative-analysis-of-first-trimester-medical-abortion-in-cases-with-previously-scarred-and-non-scarred-uterus-a-case-control-study/">A comparative analysis of first trimester medical abortion in cases with previously scarred and non-scarred uterus: A case control study</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>In recent years, termination of pregnancy has also become more common procedure due to intensive development of medicines and increasing demand for such procedures. In previously scarred uterus the use of medical abortion regimen could avoid severe complications such as uterine perforation, cervical laceration and other physical and psychological trauma which are caused by surgical termination of pregnancy. This prospective study was conducted in Department of Obstetrics and Gynaecology, J.L.N. Medical College, Ajmer from December 2015 to November 2017 to compare the efficacy, safety and acceptability of medical abortion in previously scarred and non-scarred uterus. For this study 75 women were included of amenorrhoea <u>&lt; </u>49 days with previous one or two LSCS (Lower segment cesarean section) and 75 women with no LSCS (primi and multipara with prior normal delivery). Regime which was used in this study was tab. Mifepristone 200 mg followed by Misoprostol 600µgm were given to them. Follow up was done at day 14 using sonography. The overall success rate for complete abortion in group I was 88% and that of group II was 89.3%.Total proportion of incomplete abortion was 9.33% in group I as compared to 8% in group II and continuation of pregnancy occurred 2.67% in both the groups during the entire study period. Thus there was no significant difference in efficacy of medicines in achieving abortion in scared and non-scared uterus. So early medical abortion represents an important method in previous scarred uterus patients having unwanted pregnancy. These regimens offer the prospect of a more private, less intrusive form of abortion that is both safe and effective.</p><p style="text-align: justify;"><strong>Keywords: </strong><strong>Medical abortion, Scarred uterus, Non-scarred uterus, Mifepristone, Misoprostol.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-May-2018/IMJH-MAY-2018-4.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">______________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><span style="color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/tribological-examination-of-calcium-alginate-uhmwpe-blends/">Tribological Examination of Calcium alginate – UHMWPE blends</a></strong></span></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong> Continuing our previous researches on UHMWPE (Ultra-High- Molecular-Weight Polyethylene) based implant material and its fusion with Ca-alginate, we describe new methods for preparing Ca-alginate blended UHMWPE samples and how we extended the testing of the prepared samples. If sufficient content of Ca-alginate can be achieved and the Calcium-alginate blended UHMWPE can be made, it might lead to an implant material which can promote bone formation. Earlier result shows that the Calcium–alginate contentwill be formed in the structure of UHMWPE. Using our new modified methods we can make polyethylene samples with sufficiently tough alginate content which can withstand washing and sterilization as that is shown in the paper. Since we had modified the UHMWPE specimens with Ca-alginates we carried out different types of wear testing on the prepared samples.</p><p style="text-align: justify;"><strong>Keywords</strong><strong>—</strong> <strong>UHMWPE, Na-alginate, Ca-alginate.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-May-2018/IMJH-MAY-2018-5.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">____________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><span style="color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/microbiological-survey-of-the-bathing-water-of-moroccan-beaches-from-mehdia-to-skhirat/">Microbiological survey of the bathing water of moroccan beaches from Mehdia to Skhirat</a></strong></span></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>The Moroccan coastline occupies a privileged place at the level of the entire coastline of the African continent. The quality of bathing water is a criterion increasingly demanded by the general public for the choice of its holiday resorts. Main objective of this present study is to find out the status of to find status of bathing water through physicochemical and microbiological examination.</p><p style="text-align: justify;">Sampling was done from 8 beaches of Kenitra Mehdia, Nations, Rabat-Sale, Harhoura, Temara, Golden Sand, Val D'or and the beach of Skhirate Amphitrite. Bacteriological evaluations were done &amp; presence of feacal Coliforms and/or Streptococci was considered as indicative of faecal pollution. Enumeration of faecal Coliforms and faecal Streptococci was done by filter membrane method on nutrient media Tergitol7 Agar, Litskey, Slanetz &amp; Bartley. In addition to microbiological sampling of water, temperature and pH of the water were measured "in situ". Data related to the tide (high or low) and populations were collected.</p><p style="text-align: justify;">Regarding bacterial load of beaches in present study it was found that at Mehdia beach, Nations beach, Rabat-Sale beach, Temara beach, Harhoura beach, Sable D’or beach and at Skhirat beach the contamination standard is exceeded in 30% of samples for CF and 20% for SF, 10% for CF and 0% for SF, 100% of the samples for CF and 70% for SF, 50% for CF and in none (0%) for SF, 20% for CF and 10% for SF, 30% for CF and 10% for SF and 40% for CF and 10% for SF respectively. But at Val D'or beach in none of sample exceed the guide value (VG) for faecal Coliform and fecal Streptococci. So the beaches of the Nations, Harhoura and Val D'or are classified A. The beaches of Mehdia, Temara, Golden Sand and Skhirat with medium quality waters are classified B. Only the beach of Rabat-Sale was found polluted and classified in category C.</p><p style="text-align: justify;"><strong>Keywords: </strong><strong>Coastline Pollution, Microbiology, Coliforms, Streptococci, Morocco.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-May-2018/IMJH-MAY-2018-6.pdf" target="_blank">Click here to Download Full Paper</a></span></h5>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3968394207189012694.post-20196415425538025282018-05-15T00:29:00.003-07:002018-05-15T00:29:34.519-07:00Medical Journal- April 2018<a href="http://imjhealth.org"><img class="alignnone wp-image-31 size-full" src="https://www.adpublications.org/wp-content/uploads/2018/02/medical-journal-cover-page-2018.jpg" alt="Medical Journal: Published volume-4, Issue-4, April 2018 with ad publications" width="100%" height="40%"></a><h2 style="text-align: center;"><span style="text-decoration: underline;"><span style="color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/design-and-architecture-of-intelligent-medical-machines-a-research-paper/">Design and Architecture of Intelligent Medical Machines: A Research Paper </a></strong></span></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Commonalities between the engineering rigor and the medical approach were explored to solve problems and present generic platforms to fuse the engineering rigor into the current medical approach to resolve the concerns of medical machine designers. The design methodology stresses the ability to fragment medical problems and their procedures into a series or a combination of minor or even microscopic problems (and their procedures) which are resolved by enforcing one or more actions by intelligent agents (or noun objects) to solve the localized problem. A certain amount of knowledge in the solution process is fed back to customize the specific solution for the specific patient. A series of minuscule of such knowledge modules are appropriately integrated to solve the entire medical problem for the patient. This minuscule’s of knowledge become programmable instruction for a medical machine with access to World Wide Web and knowledge bases that can verify and enhance the solution strategy for the fragmented problems.</p><p style="text-align: justify;">The role of knowledge and its programmability become crucial to finding an optimal and efficient solution to solve routine, mid-sized or large medical problems of the patients during routine doctor’s visits. It is our contention that the suggested approaches in blending the industry wide practices in the design and manufacture of digital devices and systems can reduce the cost of providing medical services substantially. With reasonable care in selecting the intelligent agents (doctors, staff, instruments, laboratories, and/or medicines), their respective actions and functions in efficient and effective combinations at appropriate instants of time can be a significant step forward in cost reduction and (near) flawless administration of medical procedures.</p><p style="text-align: justify;">The paper spans numerous disciplines ranging from mathematics, computer and knowledge science, the science of management including program evaluation and review technique (PERT) and optimization of strategies. The role of these disciplines is incisive and restricted the practice of medicine and the many roles that computer systems that are essential building blocks of medical machines.</p><p style="text-align: justify;"><strong>Keywords: Medical Machines, Evolution of Medical Processor Units, Intelligent Medical Processor Units.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-April-2018/IMJH-APR-2018-1.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">__________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><span style="color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/assessment-of-stress-attention-and-memory-in-high-school-students-in-latacunga-ecuador-a-cross-sectional-survey/">Assessment of Stress, Attention and Memory in High School Students in Latacunga, Ecuador: A cross-sectional survey</a></strong></span></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Stress is the side effect of development. Nowadays school going children also had stress and it’s after effects. So this research was carried out in order to evaluate indicators of stress level (stress test), attention (Toulouse-Pièron test), immediate memory (word list test) and working memory (reverse order digit test), to a group of 40 students of the school whose age was between 15 and 17 year. Survey done on first of April in the International Baccalaureate level of the Latacunga city, Cotopaxi province, Republic of Ecuador. The perceptual and attention testing Toluuse-Pièron for additions and omissions plus errors did not throw significant differences between gender; but they behaved over 20 % of the hits, which showed a lack of deep concentration and attention over time. The stress test showed that females were more stressed in relation to males; however, for the word test and the reverse-order digits, no significant differences between the genders were found. A nonlinear (polynomial) relationship was found between the stress of the students and the memory. So it can be concluded that females were significantly more stressed than males whereas regarding memory there was no significant difference in both the sexes. It was also revealed that there was no linear relation between stress and memory.</p><p style="text-align: justify;"><strong>Keywords: </strong><strong>Stress, Attention, Memory, Concentration.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-April-2018/IMJH-APR-2018-2.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><strong><span style="color: #ff0000;"><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/comparative-study-on-macroscopic-morphology-of-human-placenta-in-preterm-term-post-term-pregnancy/">Comparative Study on Macroscopic Morphology of Human Placenta in Preterm, Term &amp; Post Term Pregnancy </a></span></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Pregnancy is highly precious for every couple but presence of risk factors that cause prematurity, post maturity and various other conditions that complicate the pregnancy have adverse effects. Gross examination of the placenta may provide useful information about the etiology of newborn and maternal complications. Hence it is important to study relationships between placental abnormalities, gestational age and occurrence of adverse outcome. So, this study aims to compare the macroscopic morphology of human placenta in preterm, term and post-term pregnancy. A hospital based comparative observational study conducted on placentae of 40 pre-term, 40 term and 40 post-term. Shape, weight, diameter, thickness, mode of insertion of umbilical cord, number of cotyledons and arrangement of chorionic vessels was observed of each placenta included in the study. These variables of palcentae were compared as per pre-term, term and post-term. Significance of difference was determined by Chi-square test. This study revealed that most of the placentae were discoidal in shape. And the weight as well as diameter of the term placentae were significantly more from preterm placentae. Likewise weight and diameter both of the post term placentae were significantly more form term placentae. Regarding thickness of placentae, term placentae thickness were more from preterm placentae and post-term placentae were more from term placentae but it was found significant in term to preterm not in term to post-term. So it can be concluded from this study that as gestational period increases weight, diameter and thickness of placenta increases. Observing the facts, more studies are suggested to explore the other variables related to placenta and its relation to pregnancy outcomes.</p><p style="text-align: justify;"><strong>Keywords: </strong><strong>Placenta, Macroscopic anatomy of Placenta, Pregnancy Outcomes</strong><strong>.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-April-2018/IMJH-APR-2018-3.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><strong><span style="color: #ff0000;"><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/vacterl-association-a-case-report-of-a-congenital-malformations/">VACTERL association: A Case Report of a congenital malformations</a></span></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong>VACTERL / VATER association is defined by the presence of at least three of the following congenital malformations: vertebral defects, anal atresia, cardiac defects, trachea-esophageal fistula, renal anomalies and limb abnormalities. It is diagnosed clinically by the above features with presence of core component features like trachea-esophageal fistula or ano-rectal malformations. Etiology is largely unknown. Management centers on surgical correction of the specific congenital malformations in the immediate postnatal period followed by long term treatment of the sequelae. Prognosis is good if surgical correction is achieved but majority continue to be affected by their malformations throughout life.</p><p style="text-align: justify;"><strong>Keywords</strong>: <strong>VACTERL Association, Congenital Malformations.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-April-2018/IMJH-APR-2018-8.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><strong><span style="color: #ff0000;"><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/correlations-of-serum-level-of-25ohd-and-bone-mineral-density-bmd-among-chronic-patients-of-spinal-cord-injury-sci/">Correlations of Serum Level of 25(OH)D and Bone Mineral Density (BMD) among chronic patients of Spinal Cord Injury (SCI) </a></span></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Chronic patients of spinal cord injury has been detected severe reduction of bone density. Patients with SCI show mostly osteopenia or osteoporosis of the hip and spine. Vitamin D deficiency may contribute to development of osteoporosis in SCI. So a study was conducted on 100 chronic SCI patients to find out status of correlation of Vitamine D and bone mineral density (BMD). Blood samples were collected and investigated routine biochemistry with serum 25(OH)D. DXA scan of hip and spine was also done. This study observed that 55% patients had suboptimal vitamin D. Positive correlation was found between vitamin D &amp; bone mineral density. It is concluded from this study that monitoring of Serum 25(OH)D levels and annual surveillance of bone mineral density is crucial among persons with chronic SCI to reduce progression of osteoporosis and minimize the risk for further fractures.</p><p style="text-align: justify;"><strong>Keywords: </strong><strong>25(OH)D: 25 Hydroxy Vitamin D, DXA: Dual Energy X-Ray Absorptiometry, BMD: Bone Mineral Density.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-April-2018/IMJH-APR-2018-10.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">______________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><strong><span style="color: #ff0000;"><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/assessment-of-knowledge-and-practices-regarding-personal-hygiene-among-students-of-government-schools-of-jaipur-city-a-cross-sectional-survey/">Assessment of Knowledge and Practices regarding personal hygiene among students of Government schools of Jaipur city: A cross-sectional survey</a></span></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Hygiene practices are very important, poor hygiene results into various communicable diseases. These hygiene practices can have cultivated in Childhood. School children are particularly vulnerable to neglect the basic personal hygiene. So this study was conducted on 1385 school children to assess the status of knowledge and practices of their hygiene with the source of their knowledge. This study was conducted on 1385 students of 6 selected schools of Jaipur city. It was observed that it was observed that 98.4% had knowledge about body and clothes hygiene, 95.2% had knowledge about teeth brushing, 92.5% had knowledge about regular clothes washing, 89.2% had knowledge about soap use in personal hygiene, 50.3% had knowledge about use of toilet paper, 78.8% had knowledge about use of nail cutter and 37.1% knowledge about sanitary pad. And 97.3% practice for bath &amp; brush teeth every day, 95.1% practiced for hand wash before meal, 74.3% practiced for hand wash before cooking, 66.6% practiced for hand wash after cooking, 90.2% practiced for hand wash after using toilet, 87.8% practiced for hand wash after handling garbage, 75.7% practiced for hand wash after handling animal, 73.6% practiced for cutting nails in &lt; 7 days, 80.8% take hair cut out in &lt; 1 month, 70.1% use soap as hygiene product, 42.7% use facial tissue as hygiene product and 50.1% use cotton swab as hygiene product.</p><p style="text-align: justify;"><strong>Keywords: Hygiene, Knowledge, Practices, School Children</strong>.</p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-April-2018/IMJH-APR-2018-11.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">___________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><strong><span style="color: #ff0000;"><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/clinical-assessment-of-fetal-weight-estimation-using-johnsons-formula-ultrasonographic-assessment-using-hadlocks-formula-at-or-near-term-a-comparative-observational-study/">Clinical assessment of Fetal weight estimation using Johnson's formula &amp; Ultrasonographic assessment using Hadlock's formula at or near term: A comparative observational study </a></span></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Fetal weight in conjuction with gestational age is an important indicator of pregnancy outcome. So this study was conducted to find out the better method among using Johnson's formula or using Hadlock's formula to estimate fetal weight antenatally at or near term. This prospective study conducted on 100 pregnant women selected by simple random sampling with single term pregnancy with no fetal anomalies, delivered within one week of ultrasonography as well as measuring the symphysiofundal height and accuracy of Johnson's and Hadlock's formula compared. Fetal Weight is overestimated in all groups by Johnson's formula whereas in Hadlock’s formula there is underestimation of birth weight &lt;2500 gms and &gt;3500 gms babies and overestimation between 2500-3500 gms babies. The correct weight was estimated with an error of 100gms in 30% of cases by Johnson’s formula and in 68% of cases by ultrasound Hadlock's method. Although Hadlock's formula was found relatively more accurate than Johnson's formula in predicting birth weight but Johnson's formula is a quick, easy, accurate, reliable and cost effective method for estimating the fetal weight in remote areas where ultrasound is not available if assessed by experienced obstetricians. Despite the superiority of ultrasonography the simple clinical method of predicting fetal weight is of great value especially in developing countries.</p><p style="text-align: justify;"><strong>Keywords: </strong><strong>Fetal Weight, Johnson's Formula, Hadlock's Formula</strong><strong>.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-April-2018/IMJH-APR-2018-12.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">____________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><strong><span style="color: #ff0000;"><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/comparison-of-diagnostic-efficacy-of-usg-tuberculin-test-nucleic-acid-amplification-test-pcr-histopathology-for-diagnosis-of-genital-tuberculosis-in-infertile-women-assuming-culture-as-gold-sta/">Comparison of diagnostic efficacy of USG, Tuberculin test, Nucleic acid amplification test (PCR) &amp; histopathology for diagnosis of genital tuberculosis in infertile women, assuming culture as gold standard</a></span></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Female genital tuberculosis is one of the major etiological factors of female infertility. Diagnosis of genital tuberculosis is very important in such cases. So this comparative observational type of study was carried out on infertile women to compare the diagnostic effectively of ultrasonograpgy (USG), genital tuberculosis, Tuberculin test, Nucleic acid amplification test (PCR), histopathology and hysteroscopy &amp; laparoscopy (DHL) assuming culture as gold standard. It was observed that the 28% of infertile cases were found positive for genital tuberculosis on culture. Sensitivity of PCR 64.28%, DHL 92.85%, USG 42.85%, Histopathology 60.71% and Tuberculin Test 64.28%. So sensitivity was found with significant variation ranging from 42.85% with ultrasonography (USG) to 92.85% with DHL. Specificity of PCR 52.77%, DHL 55.55%, USG 98.61%, Histopathology 91.66% and Tuberculin Test 36.11%. So specificity was also found with significant variation being found maximum with USG (98.61%) and minimum with tuberculin test (36.11%). Positive predictive value (PPV) was found maximum (92.3%) with USG and minimum (28.12%) with tuberculin test and negative predictive value (NPV) was found maximum (95.23%) with DHL and minimum (72.22%) with tuberculin test. Diagnostic effectively of diagnosing GTB with various studied modalities vary with significant variation.</p><p style="text-align: justify;"><strong>Keywords: </strong><strong>Infertility</strong><strong>, </strong><strong>diagnostic efficacy</strong><strong>, </strong><strong>genital tuberculosis, Tuberculin test, Nucleic acid amplification test (PCR).</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-April-2018/IMJH-APR-2018-13.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">___________________________</h2><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/burden-of-infertility-and-its-associated-factors-a-cross-sectional-descriptive-analysis-of-infertility-cases-reported-at-a-tertiary-level-hospital-of-rajasthan/">Burden of infertility and its associated factors: A cross sectional descriptive analysis of infertility cases reported at a tertiary level hospital of Rajasthan</a></span></strong></h2><p style="text-align: justify;"><strong>Abstract—</strong>In many cultures in India, womanhood is defined through motherhood and infertile women usually carry the blame for the couple inability to conceive. A childless woman is stigmatized and sometimes not allowed to participate in various auspicious ceremonies, particularly those involving childbirth. The present study was undertaken in S.M.S. Medical College, Jaipur, Rajasthan to find out the factors contributing to infertility and the health seeking behavior of infertile women. A hospital based observational study was carried out in year 2017 on eligible women attending OPD of Obstetrics and Gynecology at Mahila Chikitsalaya, S.M.S. Medical College Jaipur. A total 1000 eligible women were recruited using systematic random sampling and interviewed using a predesigned and pretested questionnaire. A total of 119 women (11.9%) were found to be infertile. Age of women, caste, residence, education status of women, occupation, family size and socio-economic status were found to be significantly associated with infertility (P&lt;0.05). Lower age of women, OBC caste, urban residence, less family size, lesser education status of women, housewives and middle socio-economic status were found to have significantly more infertile females than their counterparts. Age of women, type of family and religion were not found to be associated with infertility (P &gt;0.05). Improving awareness about infertility and its management could help reduce the burden and its social implications.</p><p style="text-align: justify;"><strong>Keywords: I</strong><strong>nfertility, Infertile Women</strong><strong>.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-April-2018/IMJH-APR-2018-14.pdf" target="_blank">Click here to Download Full Paper</a></span></h5>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3968394207189012694.post-68711986451708093662018-04-05T00:54:00.000-07:002018-04-05T00:54:14.515-07:00Medical Journal- March 2018<a href="http://imjhealth.org"><img class="alignnone wp-image-31 size-full" src="https://www.adpublications.org/wp-content/uploads/2018/02/medical-journal-cover-page-2018.jpg" alt="Medical Journal: Published volume-4, Issue-3, March 2018 with ad publications" width="100%" height="40%"></a><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/bacterial-examination-of-wells-of-the-maamora-tablecloth-a-community-based-survey-in-kenitra-morocco/">Bacterial Examination of Wells of the Maâmora Tablecloth: A community based survey in Kenitra, Morocco </a></span></strong></h2><p style="text-align: justify;"><strong>Abstract—</strong>Pollution of water resources is a global problem. Unfortunately, groundwater is more sensitive to contamination by industrial waste, agriculture, household waste and wastewater that lead to physicochemical (pesticides, heavy metals, nitrates) and biological (viruses, bacteria, parasites) pollution. Bacterial contaminations of water are responsible for the emergence of many serious epidemic diseases (Cholera, Typhoid, Tuberculosis etc). The purpose of this study is to find out the impact of farms intensification and untreated sewage discharges on the microbiological quality of Maâmora water wells. Initially, bacteriological analysis done to identify not only pathogenic faecal germs but also indicator germs which have the same origin and which indicate that the water has been in contact with feces. In a second step, these identified germs were counted. Germs included in this study were Escherichia coli and Streptococci. Analysis were done about total &amp; faecal coliforms and faecal Streptococci from the raw water of 16 boreholes on the Maamora aquifer, Kenitra. Microbiological analysis of the waters of these studied boreholes were compared with WHO standards of potability i.e. Zero bacteria/100mL for Faecal Coliforms, Total Coliforms and Faecal Streptococci. This study reveal that there was more (33% to 42%) contamination in studied wells with total germs who attained 1 to 13 bacteria/1mL. These results calls for an improvement of the control water quality of the Maâmora and develop vigilance tools for decision-makers to managers.</p><p style="text-align: justify;"><strong>Keywords—</strong> <strong>Pollution of water, Bacterial contamination, Maâmora Tablecloth, Morocco.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-March-2018/IMJH-FEB-2018-2.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">______________________</h2><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/clinico-epidemiological-study-of-wound-infection-a-case-series-type-of-descriptive-study/">Clinico-epidemiological study of wound infection: A case series type of descriptive study </a></span></strong></h2><p style="text-align: justify;"><strong>Abstract—</strong>Surgical site infections (SSIs) are a substantial problem for patients undergoing procedures in spite of advances in surgical techniques and medical care. So this case series of SSI were studied to know the clinico-epidemiological profile of these cases to better know the etiology for better prevention. This study was conducted on 100 cases of SSI admitted and operated in surgical wards of upgraded department of surgery in Sawai Man Singh Hospital Jaipur, chosen at random irrespective of age, sex undergoing emergency laparotomies. It was observed from this study that most common sign and symptom was discharge (38%) followed by pain and tenderness (33%), raised local temperature (23%) and suture under tension/cut though (11%). Most of the wound infection was detected on 3<sup>rd</sup> to 5<sup>th</sup> post operated day. Regarding collection in wound it was observed that 60% was with seropurulent collection 18% with serous and purulent collection and 5% with fecopurulent collection. Etiological agent was found E. coli in 27% followed by Enterobactor (5%), Staphylococcus (2%) and Kleibsella (1%) and Pseudomonas (1%).</p><p style="text-align: justify;"><strong>Keywords: Surgical Site Infections</strong><strong> (SSI), </strong><strong>Laparotomies.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-March-2018/IMJH-MAR-2018-2.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">________________________</h2><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/micro-albuminuria-in-non-diabetic-non-hypertensive-cardiovascular-disease-cvd-patients-a-case-control-study/">Micro-albuminuria in non-diabetic, non-hypertensive cardiovascular disease (CVD) patients: A case control study </a></span></strong></h2><p style="text-align: justify;"><strong>Abstract—</strong>Cardiovascular disease (CVD) is a prominent health problem and micro-albunemia is one of the major causes of morbidity and mortality in these CVDs in developing countries. This case control study was designed to find out burden of micro-albuminuria in non-diabetic non-hypertensive CVD patients and its associating factors. In this study, 50 Non Diabetic Non Hypertensive CVD Patients were submitted to a complete clinical and laboratory evaluation. Patients with known micro-albuminuria, UTI and congestive heart failure were excluded. These cases were compared with matched controls. It was observed that 36% of non-diabetic, non-hypertensive CVD patients had microalbuminuric by Clinitek method. There was a positive association between dyslipidaemia and micro-albuminuria was also observed in this study. The microalbuminuric CVD patients (non-diabetic, non-hypertensive) had significantly elevated levels of serum cholesterol (p&lt;0.05), triglycerides (p&lt;0.05) and LDL (p&lt;0.05) as compared to normoalbuminuric patients. It can be concluded from this study that the micro-albuminuria was present in more than one third of non-diabetic non-hypertensive CVD patients. Older age group, Body Mass Index (BMI) and lipid profile had significant relationship with the presence of micro-albuminuria.</p><p style="text-align: justify;"><strong>Keywords: Cardiovascular disease (CVD), Triglycerides, Micro-albuminuria</strong><strong>.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-March-2018/IMJH-MAR-2018-3.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">______________________</h2><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/comparison-of-pregnancy-outcome-with-use-of-metformin-versus-insulin-in-management-of-gestation-diabetes-mellitus-an-interventional-study/">Comparison of pregnancy outcome with use of metformin versus insulin in management of gestation diabetes mellitus: An interventional study </a></span></strong></h2><p style="text-align: justify;"><strong>Abstract—</strong>Gestational Diabetes Mellitus (GDM) is a problem which may occur during pregnancy. For treatment of GDM either the Metformin or Insulin is used. So this prospective randomized multicenter trial in women with GDM was conducted to compare the treatment outcomes of metformin and insulin. This study was conducted at Rajkiya Mahila Chikitsalaya, in Obstetrics &amp; Gynaecology Department of Jawaharlal Nehru Medical College, Ajmer. This study was done on 110 women who were diagnosed GDM by DIPSI criteria with a singleton pregnancy and meet entry criteria are randomized to insulin or metformin treatment (55 cases in each group).It was observed that metformin is equally efficacious and safe as insulin with a lot of advantages like less costly, better compliance, less weight gain, less change of hypoglycaemic attack and more feasible as insulin require several daily injection with not much difference in perinatal outcome except statistically significant difference in baby weight, mean cord blood sugar level at birth, large for gestation age. So it can be concluded that Metformin treatment is suitable for non-obese as well as obese type 2 diabetes patients in pregnancy without complications. Metformin is a safer alternate to insulin in GDM management with no adverse maternal and fetal outcome.</p><p style="text-align: justify;"><strong>Keywords: </strong><strong>Gestational Diabetes Mellitus (GDM), pregnancy outcomes.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-March-2018/IMJH-MAR-2018-4.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">___________________________</h2><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/bio-socio-demographic-study-of-individuals-with-pteryzium-a-case-series-type-of-descriptive-study/">Bio-socio-demographic study of individuals with Pteryzium: A case series type of descriptive study </a></span></strong></h2><p style="text-align: justify;"><strong>Abstract—</strong> Pterygium is a common disorder in many parts of the world including India. So this study is designed to find out the bio-socio-demographic profile of Pteryzium cases which can help in understanding its distribution. This study observed that mean age of individuals with Pteryzium was 37.23±1.71 years. Maximum number of cases belongs to ≥26-50 years of age (83%). Pterygium was found slightly more in females was 55.71% as compared to males (44.29%). Most of the cases were housewife (52.86%) followed by labourer (14.29%). Majority (80%) cases were exposed to sunlight. Mean size of pterygium was 2.616±0.529 mm ranging from 2 mm to 3.8mm.In our study, with Keratometer, mean astigmatism was found 1.35±1.127D and from Scheimpflug imaging, mean astigmatism was found 1.22±0.95D in this study.</p><p style="text-align: justify;"><strong>Keywords: P</strong><strong>terygium</strong><strong>, Bio-socio-demographic factors, </strong><strong>Astigmatism</strong> <strong>Scheimpflug imaging</strong><strong>.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-March-2018/IMJH-MAR-2018-6.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">___________________________</h2><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><a style="color: #ff0000;" href="http://www.adpublications.org/incomplete-eec-ectrodactyly-ectodermal-dysplasia-and-cleft-lippalate-syndrome-with-bilateral-entropion-a-case-report/">Incomplete EEC (Ectrodactyly, Ectodermal dysplasia and cleft lip/palate) syndrome with bilateral Entropion: A Case Report </a></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong>EEC syndrome is a very rare syndrome having ectrodactyly, ectodermal dysplasia and cleft lip/ palate as cardinal signs with other variable associated features. Very few cases being reported. It is mostly inherited in an autosomal dominant manner. Such cases need coordinated multidisciplinary approach for treatment. A case of incomplete EEC syndrome having ectrodactyly and cleft palate with absence of the signs of ectodermal dysplasia with no systemic anomalies was reported. Other features noted in this case were syndactyly of fingers and toes with bilateral entropion.</p><p style="text-align: justify;"><strong>Keywords</strong>: <strong>Syndrome, Ectrodactyly, Ectodermal dysplasia, Syndactyly, Entropion.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-March-2018/IMJH-MAR-2018-7.pdf" target="_blank">Click here to Download Full Paper</a></span></h5>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3968394207189012694.post-38876748327862267642018-03-03T03:27:00.003-08:002018-03-03T03:27:29.780-08:00IMJ Health : February 2018<a href="http://imjhealth.org"><img class="alignnone wp-image-31 size-full" src="https://www.adpublications.org/wp-content/uploads/2018/02/medical-journal-cover-page-2018.jpg" alt="Medical Journal: Published volume-4, Issue-2, February 2018 with ad publications" width="100%" height="40%"></a><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><a style="color: #ff0000;" href="http://www.adpublications.org/effect-of-yoga-on-anxiety-an-interventional-study/">Effect of Yoga on Anxiety: An Interventional study </a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Regular practice of yoga promotes strength, endurance, flexibility and facilitates characteristics of friendliness, compassion &amp; self-control. So this study was conducted to find out the effect of yoga on anxiety. This study was conducted on 200 anxiety cases having age range of 18 to 55 years. Hamilton anxiety scale was used to measure the anxiety. These cases were divide into two group randomly i.e. study group and control group. Study group was given certain set of yogic exercise. Both the groups were followed and results were compared where independent variables yoga and dependent variable Anxiety was used. Chi-square, independent t test, was used for data analysis. It was observed that Anxiety was significantly decreased after the yogic intervention (P=0.042S). So it can be concluded that yoga can reduce perceived stress improve well-being even more significantly so its recommend to do yoga regularly.</p><p style="text-align: justify;"><strong>Keywords</strong>: <strong>A</strong><strong>nxiety, Yoga, Hamilton anxiety scale.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-February-2018/IMJH-FEB-2018-1.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><span style="color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/associating-factors-of-insomnia-and-depression-in-glaucoma-a-descriptive-analysis/">Associating factors of insomnia and depression in Glaucoma: A Descriptive analysis </a></strong></span></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>The role of emotional factors in glaucoma has received wide recognition by investigators and clinicians from the very beginning. Prevalence of depression in glaucoma has been estimated to be 10 to 12 percent in previous studies. Insomnia is another psychiatric co-morbidity reported with glaucoma. Both depression and insomnia in glaucoma patients may significantly affect overall quality of life in these patients adversely. The present study explores the predictive factors of insomnia and depression in patients with Glaucoma. A case-series type of observational study was carried out on 100 glaucoma cases attended at ESIC Model Hospital, Jaipur (Rajasthan) India. The PHQ -9 and ISI were used to assess depression and insomnia respectively. Data in details were collected as per pre-designed Performa. Data collected were analyzed and inferred with chi-square test. Insomnia and depression was found in 37% and 36% respectively in glaucoma cases. Insomnia and depression both were found associated with Age, Visual acuity in both the eyes and severity of glaucoma. No other studied socio-demographic and disease variables had significant association with either insomnia or depression. It was concluded that insomnia and depression are commonly found with glaucoma. Both insomnia and depression were found significantly more in older agr group, less visual acuity and sever glaucoma than their counterparts.</p><p style="text-align: justify;"><strong>Keywords</strong>: <strong>I</strong><strong>nsomnia, Depression, Glaucoma,</strong> <strong>PHQ -9, </strong><strong>Insomnia Severity Index (ISI).</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-February-2018/IMJH-FEB-2018-4.pdf" target="_blank">Click here to Download Full Paper</a></span></h5>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3968394207189012694.post-28417797658005657882018-02-02T21:06:00.003-08:002018-02-02T21:06:55.927-08:00Medical Journal- January 2018<a href="http://imjhealth.org"><img class="alignnone wp-image-31 size-full" src="https://www.adpublications.org/wp-content/uploads/2018/02/medical-journal-cover-page-2018.jpg" alt="Medical Journal: Published volume-4, Issue-1, January 2018 with ad publications" width="100%" height="40%"></a><h2 style="text-align: center;"><span style="text-decoration: underline;"><span style="color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/vitamin-d-deficiency-and-its-associating-factors-a-cross-sectional-analytic-study/">Vitamin D deficiency and its associating factors: A cross-sectional analytic study </a></strong></span></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Vitamin D deficiency is widely prevalent throughout the world. Pregnant women, neonates and infants form most vulnerable groups for vitamin D deficiency. Hypovitaminosis vitamin D in pregnancy has been reported to cause various fetomaternal effect. So this study was conducted to find out proportion of vitamin D deficiency among pregnant women and to assess the effects and its associating factors. For this purpose 120 Pregnant women on their first visit to hospital irrespective of gestational age were taken. Apart from routine obstetrical investigation, serum vitamin D (total) level was estimated. All results were recorded and analyzed statically. It was observed that 84.1% were found to be vitamin D deficient. Mean age of vitamin D deficient group and non deficient group were 28.31±3.86 and 26.37±2.83 years respectively. Religion and parity of women was not found to be associated with vitamin D deficiency whereas age, type of diet and use of sunscreen was found to be associated. Vitamin D deficiency was found significantly more in elderly, vegetarians and users of sunscreen than their counterparts. Regarding maternal and neonatal outcomes, development of preeclampsia, LSCS as mode of delivery, delivery of pre term and LBW babies were having controversial findings. So it suggest much more researches in this regards.</p><p style="text-align: justify;"><strong>Keywords: Feto-Maternal Outcome, Hypovitaminosis D, Maternal Blood Vitamin D, Vitamin D Status in Pregnancy.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-January-2018/IMJH-JAN-2018-1.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">__________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><strong><span style="color: #ff0000;"><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/knowledge-behaviour-and-practices-regarding-malaria-in-rural-population-of-south-goa-a-cross-sectional-study/">Knowledge behaviour and practices regarding Malaria in rural population of South Goa: A cross sectional study</a></span></strong></span></h2><p style="text-align: justify;"><strong>Abstract </strong><strong>—</strong> Vector-borne diseases (VBDs) represent a substantial burden globally as well as in India. Frequent outbreaks of malaria occur in rural areas. Implementation of preventive and control strategies largely depends on the knowledge and behavior of the community towards the disease. Hence the present study was conducted on 140 participants in a rural area of Goa to assess the knowledge and behavioral practices regarding malaria. A cross sectional study among residents more than 18 years of age was conducted for a period of two months. Almost all i.e. 93.5% participants had heard about malaria, 85.5% knew that it is preventable and majority knew that it is transmitted only via mosquito bite. Around 51.2% of the participants thought mosquitoes spreading malaria breed in dirty water. Out of total 89.3% of the participants used some form of personal protective measure to avoid mosquito bite. Government sector was preferred for health care by 46.4% of the participants in case of fever while 10% did not want to take any form of treatment. Hence providing periodic health education is essential for raising awareness, achieving behavioral change and improving the health care seeking behavior.</p><p style="text-align: justify;"><strong>Key words: Malaria, Rural, Knowledge, Health Care Seeking Behavior, Health Education</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-January-2018/IMJH-JAN-2018-2.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><strong><span style="color: #ff0000;"><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/gilbert-syndrome-in-pregnancy-a-case-report/">Gilbert Syndrome in Pregnancy: A Case Report </a></span></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong>Gilbert syndrome is a rare condition and rarely diagnosed before pregnancy. A 36 weeks pregnant female presented with severe vomiting, nausea, myalgia, abdominal pain, headache and yellowish discoloration of sclera, yellowish discoloration of skin since four days. She gave history of similar complaints at 16 &amp; 24 weeks in this pregnancy and was treated conservatively with IV fluids. She have similar episodes in second pregnancy. When she was investigated, she came out to a case of Gilbert syndrome which is a rare case. So she was examined and investigated thoroughly to prepare a case report to publish. To conclude when any patient presents with unconjugated hyperbilirubinaemia associated with stress, infection or dehydration Gilbert Syndrome must be excluded. Once this diagnosis is made patient must be reassured of its benign nature, excellent prognosis and normal life expectancy.</p><p style="text-align: justify;"><strong>Key words: </strong><strong>Gilbert syndrome, </strong><strong>unconjugated hyperbilirubinaemia</strong>, <strong>Pregnancy</strong>.</p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-January-2018/IMJH-JAN-2018-3.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_________________________</h2><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><a style="color: #ff0000;" href="http://www.adpublications.org/a-study-of-functional-erythropoietin-deficiency-in-patients-with-type-2-diabetes-and-anemia/">A study of functional erythropoietin deficiency in patients with type-2 diabetes and anemia</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Anemia is a common finding in diabetes, particularly in patients with diabetic nephropathy or renal impairment. This study was designed to assess the prevalence of functional erythropoietin deficiency in patients with type-2 diabetes and anemia. In a hospital based observational descriptive study, 60 diagnosed diabetic patients were included. They were divided into 2 groups: group I had diabetic patients without anemia with/without diabetic nephropathy and group II had type 2 diabetics with anemia with/without diabetic nephropathy. Most of the subjects (50%) in group I without diabetic nephropathy had their serum erythropoietin levels in the range of 15-30 IU/L with a mean value of 19.01± 2.11 IU/L. All the subjects in group I who had diabetic nephropathy had their serum EPO levels between 15-30 IU/L with a mean value 24.17±3.03 IU/L. In group II with diabetic nephropathy, most of the subjects (72.5%) had their serum EPO value &lt;15 IU/L with a mean value of 10.45± 1.61 IU/L and all the subjects without diabetic nephropathy had their serum EPO level above 30 IU/L with mean value 36.41±3.0 IU/L. Comparison of both groups showed highly significant difference in EPO levels statistically (P&lt;0.001). This study suggest further researches to find out relation of functional erythropoietin deficiency with a pattern of damage to the renal tubulointerstitium and microvasculature in diabetic kidney restricting the production of erythropoietin to maintain red cell mass in response to tissue hypoxia or a defect of "Anemia sensing" mechanism.</p><p style="text-align: justify;"><strong>Keywords</strong>: <strong>Anemia, Diabetes, Erythropoietin, Hemoglobin (Hb), Diabetic Nephropathy.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-January-2018/IMJH-JAN-2018-4.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><strong><span style="color: #ff0000;"><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/retinal-thickness-in-multiple-sclerosis-evaluation-with-optical-coherence-tomography/">Retinal thickness in multiple sclerosis: evaluation with optical coherence tomography</a></span></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> In various neurodegenerative diseases ocular manifestations are very common which can be examined and monitored in vivo by a novel imaging technique Optical Coherence Tomography (OCT). So this study was conducted to compare retinal nerve fiber layer (RNFL) thickness and ganglion cell complex (GCC) between multiple sclerosis (MS) patients and healthy individual by optical coherence tomography (OCT). For this study 40 eyes of twenty consecutive MS patients and 40 eyes of 20 age matched healthy controls were taken. Comprehensive standardized ophthalmic examinations included visual acuity, cycloplegic refraction, color vision and intraocular pressure. Optical coherence tomography was performed using 3D Topcon OCT; RNFL thickness and ganglion cell complex (GCC) was detected with the inbuild software. Mean values for the thickness of the peripapillary RNFL and ganglion cell complex (GCC) were calculated and compared between both groups. It was observed that the RNFL thickness in each quadrant and ganglion cell complex (GCC) in MS patients were all significantly decreased in comparison to healthy controls. So it can be concluded that OCT is a valuable research instrument for evaluation and monitoring MS progression by measurement of the retinal nerve fiber layer (RNFL) as purely axonal structure (indicative for axonal loss) and the macular ganglion cell complex (evidence of neuronalloss).</p><p style="text-align: justify;"><strong>Keywords: Optical</strong> <strong>Coherence</strong> <strong>Tomography, Multiple</strong> <strong>Sclerosis, Retinal</strong> <strong>Nerve</strong> <strong>Fiber</strong> <strong>Layer</strong> <strong>Thickness.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-January-2018/IMJH-JAN-2018-5.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><span style="color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/voluntary-blood-donation-perception-and-practices-among-adult-population-of-a-semi-urban-area-of-udaipur-india/">Voluntary Blood Donation: Perception and Practices among Adult Population of a Semi-Urban Area of Udaipur, India</a></strong></span></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> There is a need to strengthen blood donor management in order to reduce the demand supply gap. Efforts are needed in this direction at all levels including educating and motivating more individuals to be involved in voluntary blood donation and converting them to retention donors. In order to develop rational and evidence based systems to be address blood shortage, it is needed to assess the current donor services and improve them to encourage more future donations. The present study explores the perceptions and practices of adults in a semi-urban area of Udaipur regarding blood donation and trying to identify the factors associated therewith. This cross sectional study was conducted on 3087 adult participants of semi urban areas of Udaipur from June 16, 2016 to August 15, 2016. It was observed that 91.2% of the participants were aware that blood donation is important for saving lives and 78.7% had a favorable attitude towards blood donation. However, in practice, less than 20% had ever donated blood. On further analysis educational level had found to have a significant effect on the knowledge regarding blood donation with p-value&lt;0.00. So it can be concluded from this study that although the awareness about blood donation is quite high but very few people have actually donated blood voluntarily. Motivational interactive sessions at the community level are needed to allay the fears and misconceptions related to blood donation.</p><p style="text-align: justify;"><strong>Keywords: Blood donation, Perceptions, Practices.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-January-2018/IMJH-JAN-2018-9.pdf" target="_blank">Click here to Download Full Paper</a></span></h5>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3968394207189012694.post-84554427964468393602018-01-01T23:59:00.003-08:002018-01-01T23:59:46.146-08:00Medical Journal- December 2017<a href="http://imjhealth.org"><img class="alignnone wp-image-31 size-full" src="https://www.adpublications.org/wp-content/uploads/2017/09/medical-journal-cover-page.jpg" alt="Medical Journal: Published volume-3, Issue-12, December 2017 with ad publications" width="100%" height="40%"></a><h2 style="text-align: center;"><span style="text-decoration: underline;"><span style="color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/communication-on-educational-therapeutic-method-in-language-development-in-children-with-trisomy-21-a-review/">Communication on Educational-therapeutic method in language development in children with trisomy 21: A review </a></strong></span></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> This paper provides general information on the language of children with Trisomy 21, on their development and on the methods of educational-therapeutic intervention. I defined the means of applying of Total Communication in the development of communication and of the language in 21-trisomic children. Mental retardation in 21-trisomic children impairs learning ability in many fields, with a negative impact on children’s communication ability; these communication possibilities should be improved throughout their entire life. This paper highlights the methods of intervention using Total Communication, the evolution throughout therapy; the therapy will continue in order to attain the objectives determined within the complex educational therapy program. An early educative intervention contributes to the systematisation of all chances of obtaining a more rapid psychological development of 21-trisomic children until the level becomes easy to achieve.</p><p style="text-align: justify;"><strong>Keywords: Communication, Trisomy 21, Language.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-December-2017/IMJH-DEC-2017-1.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">____________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><strong><span style="color: #ff0000;"><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/a-rare-case-of-unruptured-ectopic-pregnancy-in-a-rudimentary-horn-with-a-dead-foetus-of-fifteen-weeks-a-case-report/">A rare case of unruptured ectopic pregnancy in a rudimentary horn with a dead foetus of Fifteen weeks: A Case Report</a></span></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Pregnancy in non-communicating rudimentary horn is very rare and life threatening. It is often not diagnosed unless it terminates by rupture in the second trimester. Prerupture diagnosis of rudimentary horn pregnancy with USG is technically difficult, with sensitivity of 30%. Here a case of unruptured ectopic pregnancy in non-communicating rudimentary horn of unicornuate uterus at 15 weeks of gestation is presented. This patient presented in emergency department as a case of intrauterine fetal death. Laparotomy was carried out and excision of rudimentary horn was done.</p><p style="text-align: justify;"><strong>Keywords: Ectopic Pregnancy, Rudimentary Horn, Unicornuate Uterus</strong> <strong>Foetal Death</strong><strong>.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-December-2017/IMJH-DEC-2017-2.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">__________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><strong><span style="color: #ff0000;"><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/knowledge-attitude-and-practices-regarding-animal-bites-and-rabies-in-urban-population-of-north-goa/">Knowledge attitude and practices regarding animal bites and rabies in urban population of North-Goa</a></span></strong></span></h2><p style="text-align: justify;"><strong>Abstract </strong><strong>—</strong> Rabies is an endemic zoonotic disease in India. Dog is the main reservoir of rabies in India and other developing countries? An estimated 20565 deaths are reported in India due to rabies annually. It is a universally fatal disease but preventable by timely post-exposure prophylaxis. The current study was undertaken to assess the knowledge, attitude and practices towards animal bites and rabies in an urban community catered to Urban Health Centre, Santa Cruz, North Goa. 150 adult family members, one from each randomly selected family from the urban community catered to Urban Health Centre, Santa Cruz, North Goa were interviewed using a semi-structured questionnaire regarding their personal details and their knowledge attitude and practices about animal bites and towards rabies. Out of the 150 study participants, 132 (88%) were aware of the disease rabies and majority i.e. 140 (93%) knew that dog bites lead to rabies. However only 60 (40%) were aware of other animal bites causing rabies. 116 (77%) of study subjects preferred a hospital for wound treatment. However a significant 34 (22%) preferred traditional remedy or healer. Nearly one third i.e. 44 (29%) of the study subjects preferred to observe the dog for at least ten days following dog bite before being advised the same at health facility. 47 (31.33%) of the study participants had been bitten by a dog in the past of which 35 (74.47%) were bitten by a stray dog. 62 (41.33%) owned a pet dog of which 32 (51%) were vaccinated.</p><p style="text-align: justify;"><strong>Keywords: Knowledge, Attitude and Practices, Rabies, Dog bites.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-December-2017/IMJH-DEC-2017-4.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><span style="color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/central-neuropathic-pain-after-acute-spinal-cord-injury-np-in-sci-a-case-series-of-494-sci-cases/">Central Neuropathic Pain after Acute Spinal Cord Injury (NP in SCI): A Case series of 494 SCI cases</a></strong></span></span></h2><p style="text-align: justify;"><strong>Abstract </strong><strong>—</strong>Pain following Spinal Cord Injury (SCI) is very common. So this study was conducted to find out prevalence, associated factors and pattern of Neuropathic Pain (NP) among SCI patients, for which 494 consecutive eligible patients of Spinal Cord Injury (SCI) admitted in the Department were evaluated for NP. It was observed that 13.76% of SCI patients complained of neuropathic pain. In 21 to 30 years age group 23.13% and 61.76% cases of neuropathic pain had dorso-lumbar injury. 48.30% cases of neuropathic pain had onset in 2<sub>­</sub><sup>nd</sup> and 3<sup>rd</sup> week. Discomfort was more at night (36.76%), in below the knee area and dorsum of the foot. Hot burning type of sensation was the commonest descriptor of NP and range of movement (ROM) exercises and tepid cold water sponging were relieving factors.</p><p style="text-align: justify;"><strong>Keywords: </strong><strong>Spinal cord injury, Neuropathic pain.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-December-2017/IMJH-DEC-2017-7.pdf" target="_blank">Click here to Download Full Paper</a></span></h5>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3968394207189012694.post-66419379514724956662017-12-08T23:26:00.000-08:002017-12-08T23:26:01.419-08:00Medical Journal- November issue 2017<a href="http://imjhealth.org"><img class="alignnone wp-image-31 size-full" src="https://www.adpublications.org/wp-content/uploads/2017/09/medical-journal-cover-page.jpg" alt="Medical Journal: Published volume-3, Issue-11, November 2017 with ad publications" width="100%" height="40%"></a><h2 style="text-align: center;"><span style="text-decoration: underline;"><span style="color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/a-study-of-reproductive-health-mental-health-addictions-among-adolescents-in-margao-city-of-goa/">A study of reproductive health, mental health &amp; addictions among adolescents in Margao City of Goa</a></strong></span></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Reproductive health development depends on the menstrual hygiene in adolescence. Half of all mental health disorders in adulthood start during adolescence. Drug, alcohol and tabacco use is major concern in this group. This study was conducted to study the reproductive health, mental health and various addictions in urban adolescent. This cross sectional study was conducted among 506 adolescents from standard 9<sup>th</sup> and 10<sup>th</sup> in a high school in Margao city of South Goa district in year 2015. For this study, 506 participants sampled by census method were interviewed by using a pretested, structured questionnaire. The mean age of study participants i.e. in girls it was 16.30 years &amp; in boys it was observed 16.43 years. 85.4% of the study participants experienced one of the feelings of being anxious, sad, irritable or stressed, 74.4% of the study participants experienced feelings suggestive of psychosomatic disorder and 48.4% participants felt they were good for nothing. 58.1% had normal cycles of 21-35 days while 30.7% and 11.2% of the girls had cycles of &lt; 21 days &amp; 36-60 days respectively. 49.2% experienced mild symptoms of dysmenorrhoea, equal percentage experienced moderate symptoms and 1.6% experienced severe dysmenorrhoea. 40.4% had curdy white vaginal discharge, 5.5% had greenish yellow discharge and 19.8% had blood stained vaginal discharge. 5.5% of the adolescents smoked.1.2% of the participants chewed Gutkha. 26.5% had consumed alcohol &amp; 3.8% had tried drugs. The study shows that adolescents faces various problems for which they need to be addressed.</p><p style="text-align: justify;"><strong>Key Words: Reproductive Health, Menstrual Hygiene, Mental Health, Addictions</strong><strong>, Urban Adolescent.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-November-2017/IMJH-NOV-2017-2.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><span style="color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/isolated-medial-rectus-cysticercosis-mimicking-pre-septal-cellulitis-a-case-report-2/">Isolated Medial Rectus Cysticercosis mimicking pre-septal cellulitis: A Case Report </a></strong></span></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Man is the intermediate host in the life cycle of the pork tapeworm Taenia solium. Its larval form Cysticercus cellulosae is the causative agent of cysticercosis. Both intraocular and extra ocular cysticercosis are observed in tropical countries like India. A case of extra ocular cysticercosis is reported here. An eight year old female patient who was brought to emergency department with pain and swelling around peri-orbital region, diminution of vision along with ptosis in left eye. CT scan showed scolex of Taenia solium in left medial rectus muscle. The patient recovered completely with oral albendazole steroids for four weeks. So a case with pain and swelling around peri-orbital region, diminution of vision along with ptosis in left eye should be investigated for cysticercosis.</p><p style="text-align: justify;"><strong>Keywords: </strong><strong>Taeniasis, Extra ocular Cysticercosis, Medial Rectus, Peri-Orbital Region.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-November-2017/IMJH-NOV-2017-4.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">___________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><strong><span style="color: #ff0000;"><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/association-of-age-and-sex-with-episodes-of-acute-illness-in-geriatric-population-of-jaipur/">Association of Age and sex with Episodes of Acute Illness in Geriatric population of Jaipur </a></span></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong> Elderly population is increasing due to demographic shift in favor of geriatric population. This age group is susceptible for many health problems. So this cross-sectional study was carried out from September 2009 to August 2010 on 1620 elderly residing in Municipal corporation area of Jaipur city with the aim to study episodes of acute illness and its associating factors. Study population consist of 1620 elderly with M:F ratio 0.95. Mean age of elderly was 66.08 years with slight female predominance i.e. 1048 females for 1000 males in Jaipur city. It can be concluded from this study that 44.37% of elderly had one or more episodes of acute illness in last one month. These numbers of episodes of acute illness in last one month was found more in males and in older age groups.</p><p style="text-align: justify;"><strong>Key words- Elderly, Geriatric, Acute Illness, Age &amp; Sex association.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-November-2017/IMJH-NOV-2017-5.pdf" target="_blank">Click here to Download Full Paper</a></span></h5>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3968394207189012694.post-33158729792285691552017-11-09T22:52:00.001-08:002017-11-09T22:52:52.444-08:00Medical Journal- October issue 2017<a href="http://imjhealth.org"><img class="alignnone wp-image-31 size-full" src="https://www.adpublications.org/wp-content/uploads/2017/09/medical-journal-cover-page.jpg" alt="Medical Journal: Published volume-3, Issue-10, October 2017 with ad publications" width="100%" height="40%"></a><h2 style="text-align: center;"><span style="text-decoration: underline;"><span style="color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/indoor-environment-is-it-possible-to-use-outdoor-air-in-densely-populated-areas-as-an-indicator-of-indoor-air-quality-in-swedish-buildings/">Indoor environment: Is it possible to use outdoor air in densely populated areas as an indicator of indoor air quality in Swedish buildings </a></strong></span></span></h2><p style="text-align: justify;"><strong>Abstract</strong>— In the last few decades, indoor air problems have increased in Swedish housing, office and school buildings. The problems that are mentioned are mucosal and respiratory symptoms, asthma, skin symptoms, fatigue and headache. In the environmental health report compiled by the responsible authorities, it is shown that the scope of the problem has been constant since the early 1990s. This is done despite the fact that extensive efforts have been made and extensive resources have been used in research, government investigations with new industry directives and through measures taken in buildings. There is a great need for validated analysis and measurement methods, as well as finding level values for the air environment in Swedish housing, office and school buildings. The purpose of this project is to evaluate whether outdoor air can be used as an indicator and level sensor for the quality of the indoor air environment. Outdoor air is an indicator where the number of particles, preferably those larger than 5.0 μm, is a valuable parameter. The long-term goal should be to build a bank with values from the outdoor air. This bank should include values with an even distribution that include temporal variations, the Swedish seasonal variations and the longer-term variations that occur annually. In addition, it should cover a uniform distribution across the whole of Sweden. This bank should be a better basis for assessing the environment in each object, instead of using the value of the level outside the building at the current time of measurement. An important issue is the calibration of measuring instruments to make the results comparable. In this project, this is not a problem since only one and the same instrument is used, but when using several instruments, the relationships actualized.</p><p style="text-align: justify;"><strong>Keywords: Air quality, Hygiene and Health, Indoor Environment, Particle Amount, Particle Measurements, Particle Size.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-October-2017/IMJH-OCT-2017-1.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">___________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><span style="color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/effect-of-root-heal-therapy-rht-on-melasma-a-quincy-experiment/">Effect of Root Heal Therapy (RHT) on Melasma: A Quincy Experiment </a></strong></span></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Melasma is a very common skin disorders which has no fix treatment schedule and is very difficult to treat. This present study was planned to compare the effect of traditional treatment alone and in combination with Root Heal Therapy on Melasma cases. A Quincy experiment was conducted on 60 patients of Melasma, who were taking treatment from a same physician working in Charak Bhawan, a hospital attached to SMS Medical College, Jaipur (Rajasthan). Out of these 67 melasma cases were completed the protocall, out of that 35 were in group who has received traditional treatment, 32 were in group who has received RHT along with traditional treatment. Baseline status of Melasma with its Severity its impact on quality of life was assessed. Severity of Melasma was assessed through MASI scores and quality of life was assessed by Dermatology Life Quality Index (DLQI) scores. These cases were followed for 6 months; again they were assessed as per MASI. Changes in over this period Melasma severity in both the groups were compared with Chi-square test and Unpaired’t’ test. It was found that significantly more cases were benefited with this RHT in the form of number of severity of Melasma and quality of life was also significantly improved with RHT. Further researches are required for further details.</p><p style="text-align: justify;"><strong>Key Words: </strong><strong>Melasma, MASI scores, </strong><strong>Dermatology Life Quality Index (DLQI),</strong> <strong>Root Heal Therapy (RHT). </strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-October-2017/IMJH-OCT-2017-3.pdf" target="_blank">Click here to Download Full Paper</a></span></h5>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3968394207189012694.post-44803402992242567512017-10-14T06:13:00.004-07:002017-10-14T06:13:55.144-07:00Medical Journal- September issue 2017<a href="http://imjhealth.org"><img class="alignnone wp-image-31 size-full" src="https://www.adpublications.org/wp-content/uploads/2017/09/medical-journal-cover-page.jpg" alt="Medical Journal: Published volume-3, Issue-9, September 2017 with ad publications" width="100%" height="40%"></a><h2 style="text-align: center;"><span style="text-decoration: underline;"><strong><span style="color: #ff0000;"><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/isolated-medial-rectus-cysticercosis-mimicking-pre-septal-cellulitis-a-case-report/">Isolated Medial Rectus Cysticercosis mimicking pre-septal cellulitis: A Case Report </a></span></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Man is the intermediate host in the life cycle of the pork tapeworm Taenia solium. Its larval form Cysticercus cellulosae is the causative agent of cysticercosis. Both intraocular and extra ocular cysticercosis is observed in tropical countries like India. A case of extra ocular cysticercosis is reported here. An eight year old female patient who was brought to emergency department with pain and swelling around peri-orbital region, diminution of vision along with ptosis in left eye. CT scan showed scolex of Taenia solium in left medial rectus muscle. The patient recovered completely with oral albendazole steroids for four weeks. So a case with pain and swelling around peri-orbital region, diminution of vision along with ptosis in left eye should be investigated for cysticercosis.</p><p style="text-align: justify;"><strong>Keywords: </strong><strong>Taeniasis, Extra ocular Cysticercosis, Medial Rectus, Peri-Orbital Region.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-September-2017/IMJH-SEP-2017-1.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">___________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><strong><span style="color: #ff0000;"><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/superior-orbital-fissure-syndrome-due-to-metastatic-prostatic-malignancy-a-case-report/">Superior orbital fissure syndrome due to Metastatic prostatic malignancy: A Case Report </a></span></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Superior orbital fissure syndrome (SOFS) is a rare disease. So when a case of this came at Aravind Eye Institute, a detailed case report was prepared to publish. A 56 years old male patient, a known case of prostatic malignancy with skeletal metastasis presented with ptosis, exotropia, diminished pupillary reflex and limitations in extraocular movements of left eye. MRI brain revealed diffuse skull base and leptomeningeal metastasis. Whole body CT scan showed metastasis in ribs, scapula and in pelvic bones. He was diagnosed to have superior orbital fissure syndrome due to metastatic prostatic malignancy and was offered steroids and radiotherapy.</p><p style="text-align: justify;"><strong>Keywords: Ptosis, Prostate, Metastasis.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-September-2017/IMJH-SEP-2017-3.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">___________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><strong><span style="color: #ff0000;"><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/clinico-epidemiology-and-outcome-of-ectopic-pregnancy-an-experience-of-7-years-in-st-stephens-hospital-delhi/">Clinico-epidemiology and outcome of ectopic pregnancy: An experience of 7 years in St. Stephen’s hospital, Delhi</a></span></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong>— Ectopic pregnancy is an important cause of maternal morbidity &amp; mortality in the first trimester. Treatment of ectopic pregnancy was limited to surgery. In spite of advancement of diagnosis &amp; management it is still a very serious threat to maternal safety, so this case-series type of study was conducted on 58 ectopic pregnancies to study the clinico-epidemiology and outcome of medically managed ectopic pregnancy at a tertiary level hospital. Out of total 20,354 pregnancies, 443 (2.1%) were ectopic pregnancies. Most common site of ectopic pregnancy was Fallopian tubes in 94.8% cases followed by ovary in 3.4% cases and heterotopic in 1.7%. Age range was 17 years to 36 years with mean age 28.12 ± 4.10 years. Parity wise maximam were nulliparous (53.4%) followed by para one (25.9 %), para two (19%) and para three (17.2 %). Ectopic pregnancies on right side were found in 55.2% while in left side in 44.8% 75.8% had bleeding per vaginum and 74.1 % had pain abdomen as their chief complaints. History of abortion was found in 44% cases and past history of ectopic pregnancy was found in 8.6% cases whereas past history of pelvic inflammatory disease in 22.4% cases and infertility in 13.8% cases. 1.7% cases had IUCD in situ while 5.2% cases had history of past IUCD insertion. History of ovulation induction was present in 8.6% cases, 3.4% cases were IVF conceived and 1.7% underwent laparohysteroscopy for infertility treatment. In this study success rate of methotrexate therapy was found 93.1%. Emergency surgery was needed only in 6.9% of cases. So it can be concluded that bleeding per vegina and pain abdomen may be investigated for ectopic pregnancy and ectopic pregnancies should be treated first line with methotrexate before surgery.</p><p style="text-align: justify;"><strong>Keywords: </strong><strong>Ectopic Pregnancy</strong><strong>, Methotrexate, Clinico-epidemiology.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-September-2017/IMJH-SEP-2017-4.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">____________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><strong><span style="color: #ff0000;"><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/clinico-epidemiological-study-of-cutaneous-tuberculosis-in-a-tertiary-care-hospital-of-rajasthan/">Clinico-epidemiological study of cutaneous tuberculosis in a tertiary care hospital of Rajasthan</a></span></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong>—India constitutes about one fourth of the Global TB burden. Cutaneous TB is less common clinical form of tuberculosis accounting for 1-2 % of the total extra-pulmonary cases. Objective of this study was to describe the clinical and epidemiological pattern of Cutaneous TB presenting in the Skin Outpatient Department (OPD). Patients presenting with clinically suspected skin lesions of Cutaneous TB from January 2015 to August 2016 were included in the study. Dermatological and systemic examination was carried out and histopathogical examination of skin punch biopsy was done. It was observed that out of a total of sixty patients, 45 (75%) patients were found to have features of Cutaneous TB on histopathology. Lupus vulgaris (42.2%) was the most common form of Cutaneous TB. Most patients were in age group of 11-30 years. Male to female ratio was 1.6:1. Most common sites of involvement were lower limbs and neck. Mantoux test was positive(≥15 mm induration) in 66.7% cases. Typical tuberculoid histology was found in 91.1% cases. No cases of tuberculids were seen and non-specific chronic inflammation was seen in six cases. It was concluded that Cutaneous TB may present with different morphological patterns resembling other inflammatory, infective and neoplastic conditions. Proper and thorough investigations are necessary for detection of Cutaneous TB as the annual incidence of total TB cases in India is high.</p><p style="text-align: justify;"><strong>Keywords: Cutaneous TB, Lupus vulgaris, Mantoux test, Clinico-epidemiology.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-September-2017/IMJH-SEP-2017-5.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">____________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><strong><span style="color: #ff0000;"><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/menstrual-pattern-among-school-girls-with-special-reference-to-determinants-of-amount-of-menstrual-blood-loss-a-cross-sectional-study-in-jaipur-city/">Menstrual pattern among school girls with special reference to determinants of amount of menstrual blood loss: A cross-sectional study in Jaipur city </a></span></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong>— Menstruation had many tremendous psychological response in adolescent. And there are many myths prevalent regarding menstruation. So this study was conducted with the aim to study menstrual pattern in adolescent school going girls and association of menstrual blood flow with their BMI, diet, sports activities and gadgets. This study is a descriptive type of cross-sectional study in which adolescent girls who attained menarche were included. Present study was carried out on in government schools Jaipur City (Rajasthan) on 1233 girls aged between 13 to 19 years. BMI was significantly associated with amount of blood loss. Girls whose BMI was &lt;18.5 kg/m2 or underweight had moderate to severe degree of dysmenorrhoea compare to those BMI 18.5-24.9 kg/m2. Proportion of girls involved in sports activities were having less amount of blood loss compared to those who were leading sedentary life. B So it can be concluded that BMI has direct co-relation with menstrual blood loss; the girls involved in sports had less amount of menstrual blood loss.</p><p style="text-align: justify;"><strong>Keywords: Menstrual Pattern, Menstrual Blood Loss, Adolescence, BMI, Sports Activities.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-September-2017/IMJH-SEP-2017-6.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">___________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><span style="color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/dosimetric-evaluation-of-carcinoma-nasopharynx-using-volumetric-modulated-arc-therapy-vmat-an-institutional-experience-from-western-india/">Dosimetric evaluation of carcinoma nasopharynx using Volumetric Modulated Arc Therapy (VMAT): An institutional experience from Western India</a></strong></span></span></h2><p style="text-align: justify;"><strong>Abstract</strong>— Treatment of nasopharyngeal carcinoma is done by advanced radiotherapy techniques like VMAT (Volumetric Modulated Arc Therapy) where dose to critical organs around tumour is of concern. Present study aimed to describe radiation dose to critical organs in nasopharyngeal cancer patients using VMAT technique. Study was conducted on 10 carcinoma nasopharynx patients treated by VMAT technique at a super-specialty cancer institute in Rajasthan. The structures were contoured using RTOG (Radiation Therapy Oncology Group) guidelines and dose prescription to PTV (Planning Target Volume) was such that 95% iso-dose covered 100% of PTV. Constraints to the OARs (Organs at risk) were as per QUANTEC (Quantitative Analysis of Normal Tissue Effects in the Clinic). VMAT planning was done by double arc using Eclipse (v 10.0.42) treatment planning system. Mean dose to brain stem, spinal cord and optic chiasma were 51.79 Gy, 45.92 Gy and 18.8 Gy respectively. Mean dose to left and right temporal lobes was 22.7Gy and 24.3Gy. Dose to right and left eye were 20.6 Gy and 19.2 Gy while dose to right and left lenses were 5.9Gy and 5.8 Gy respectively. Dose to brain stem, spinal cord, optic chiasma, eyes, lens and temporal lobes were below the dose constraints. VMAT is an effective way to deliver maximum radiation to tumour tissue while providing better sparing of normal tissue and less doses to OARs in carcinoma nasopharynx.</p><p style="text-align: justify;"><strong>Keywords: Nasopharyngeal carcinoma (NPC), Volumetric Modulated Arc Therapy, Radiation Therapy Oncology Group.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-September-2017/IMJH-SEP-2017-7.pdf" target="_blank">Click here to Download Full Paper</a></span></h5>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3968394207189012694.post-3863517036445704002017-09-01T06:50:00.001-07:002017-09-01T06:50:53.995-07:00Medical Journal: August 2017 Issue<a href="http://imjhealth.org"><img class="alignnone wp-image-31 size-full" src="https://www.adpublications.org/wp-content/uploads/2017/09/medical-journal-cover-page.jpg" alt="Medical Journal: Published volume-3, Issue-7, July 2017 with ad publications" width="100%" height="40%"></a><h2 style="text-align: center;"><span style="text-decoration: underline;"><span style="color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/a-comparative-study-of-efficacy-of-micro-needling-alone-versus-micro-needling-with-autologous-platelet-rich-plasma-in-facial-atrophic-acne-scars/">A comparative study of efficacy of micro-needling alone versus micro-needling with autologous platelet rich plasma in facial atrophic acne scars</a></strong></span></span></h2><p style="text-align: justify;"><strong>Abstract</strong>— Post acne scarring is a consequence of abnormal resolution or wound healing following the damage that occurs in the sebaceous follicle during acne inflammation. The present study was undertaken to compare the improvement in facial atrophic acne scars by micro-needling alone and combination of micro-needling with autologous platelet rich plasma (PRP). A prospective, observer blinded, comparative interventional study was conducted on 50 patients of facial atrophic acne scars fulfilling inclusion criteria. They were randomly divided into two group of 25 each i.e. group 'A' (micro-needling alone) and group 'B' (micro-needling with PRP). Three sessions on monthly interval were conducted and Final follow up was done at 4<sup>th</sup> month. They were evaluated by Goodman and Baron’s quantitative and qualitative grading scale, for clinical improvement and for patient's satisfaction. Although qualitative and quantitative improvement was observed in both the groups but the improvement in group 'B' was more than 'A' on Goodman and Baron’s quantitative and qualitative grading scale, however it was not statistically significant. On clinical improvement and on patient satisfaction, group 'B' had better results than group 'A' which was statistically significant (p&lt;0.05). It was concluded that Micro-needling with autologous PRP is simple, safe and cost-effective procedure for facial atrophic acne scars. Micro-needling when combined with autologous PRP provides better overall clinical improvement. It is suggested that PRP should be considered as an adjuvant therapeutic option along with micro-needling in the management of atrophic acne scars.</p><p style="text-align: justify;"><strong>Keywords: Micro-needling, Goodman and Baron’s quantitative and qualitative grading scale, post acne scar, Platelet Rich Plasma (PRP).</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-August-2017/IMJH-JUL-2017-8.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_____________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><strong><span style="color: #ff0000;"><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/evaluation-of-genetic-dna-damage-in-the-agricultural-workers-exposed-to-combined-action-of-pesticides-in-jonia-area-of-barpeta-district-of-assam/">Evaluation of Genetic DNA damage in the agricultural workers exposed to combined action of pesticides in Jonia area of Barpeta district of Assam</a></span></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong>— The use of pesticide is increasing day by day and it causes a serious concern to the human health, especially some pesticides causes’ deleterious effect causing Cancer. Genotoxicity test has a special significance because it is one of the tests for cancer research and risk assessment. The sprayer has more risk because they directly cause in contact with pesticides. Pesticides may affect the DNA of the body cells of the sprayer and known to cause DNA damage. In this case control study DNA damage due to exposure of pesticides by the Agricultural workers of Jonia area of Barpeta district were assessed using the Comet assay. The result showed that the exposed workers had greater mean comet tail length than those of control i.e. 17.69±5.25 versus 10.72±7.89 (p=0.0034, t=3.8206). Among control group, smokers of exposed group have greater tail length than smokers of control group. When DNA damage in the form of comet tail length and frequency of blood leucocytes showing migration were further evaluated in study group. It was observed that although it is more in elders, vegetarian, alcoholics and smokers but it was it was found significant only in smokers than non smokers. Therefore the present studies suggest that exposure of pesticides and smoking habits may cause DNA damage.</p><p style="text-align: justify;"><strong>Keywords: Agricultural workers, Pesticide, DNA damage.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-August-2017/IMJH-AUG-2017-3.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">____________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><strong><span style="color: #ff0000;"><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/status-of-oxidant-and-antioxidants-in-term-newborns-with-hypoxic-ischemic-encephalopathy-a-case-control-design/">Status of oxidant and antioxidants in term newborns with hypoxic ischemic encephalopathy: A case control design</a></span></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong>— Hypoxic ischemic encephalopathy (HIE) is due to failure to initiate and sustain breathing immediately after delivery which may leads to increase mortality and morbidity in these neonates. This may cause severe and permanent neuropsychological sequelae, including mental retardation, visual motor or visual perceptive dysfunction, increased hyperactivity, cerebral palsy and epilepsy. The brain damage may occur due to release of free radicals in HIE. So this case control study was conducted on 50 neonates with HIE and 25 healthy neonates with the aim to compare the status of oxidants and antioxidants in these both groups. It was observed that Malonyldialdehyde (MDA) was found with significantly increased in study group than control group i.e. 12.26±4.1 nmol/ml in study and 2.10±0.10 nmol/ml in control group. Among antioxidants, Catalase (30.42± 7.7 v/s 14.59± 4.7) and SOD (2.59± 0.4 v/s 1.54± 0.3) were found significantly increased whereas Vit E (1.36± 0.3 v/s 2.73± 0.6) was found significantly decreased in neonates with HIE than controls.</p><p style="text-align: justify;"><strong>Keywords: Hypoxic ischemic encephalopathy (HIE), Malonyldialdehyde (MDA), Superoxide dismutase (SOD), Catalase and Vitamin E.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-August-2017/IMJH-AUG-2017-8.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">____________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><span style="color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/button-cell-battery-as-foreign-body-ingestion-in-children-a-retrospective-analysis-in-a-tertiary-care-center/">Button cell battery as foreign body ingestion in children: A retrospective analysis in a tertiary care center</a></strong></span></span></h2><p style="text-align: justify;"><strong>Abstract</strong>—Button cell foreign bodies are increasingly presented as foreign bodies in esophagus. Many a time no positive id on button cell and can be mistaken as foreign body coin and delayed for management. Retrospectively analyze of 19 admitted cases with foreign body ingestion in children for foreign body Lithium ion battery button cell in esophagus done with the aim to evaluate epidemiology, clinical presentation and duration of presentation, radiological findings, endoscopic findings and complications in such cases. Clinical record of patients with foreign body Button cell batteries was reviewed and compiled in Microsoft Excel sheet and descriptive and percentage analysis was done. There were 11 (57.89%) male patients and 8 female patients. History of foreign body battery cell was given by the parents of 10 children. 3 patients presented with respiratory complains. After history and radiological examination in 17 out of 19 patients presence of lithium cell battery was suspected prior to endoscopic removal. In 4 patients severe mucosal injury noted. It was concluded from this study that foreign body button cell can cause serious injuries to upper aerodigestive tract. These should be promptly removed.</p><p style="text-align: justify;"><strong>Keywords: Foreign bodies, Button battery, Halo sign, Double rim sign.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-August-2017/IMJH-AUG-2017-9.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">___________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><strong><span style="color: #ff0000;"><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/cardiovascular-risk-factors-analysis-in-young-patients-with-proven-coronary-artery-disease-with-special-reference-to-dyslipidemia/">Cardiovascular risk factors analysis in young patients with proven coronary artery disease with special reference to dyslipidemia</a></span></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong>— Dyslipidemia is a primary, widely established as an independent major risk factor for coronary artery disease (CAD). Hence, this study was conducted with objective to find out associating risk factors in young CAD patients with special reference to dyslipidemia and its correlation of dyslipidemias &amp; the type of obesity. A hospital Based observational descriptive study conducted on 30 patients of acute myocardial infarction below 40 years of age at department of medicine and Department of Cardiology. R.N.T. Medical College, Udaipur. To infer the association, Chi Square test in qualitative data and ANOVA &amp; Unpaired’t’ test for quantitative data was used. Most common symptoms in young patients with acute myocardial infarction were chest pain (93.33%), Amongst risk factors smoking was most common (66.66%). The most common type of myocardial injury in ECG was anterior type of infarction in 66.66% cases. Single risk factor for myocardial infarction was present in 23.33% of patients. Two risk factors were present in 20% of patients whereas 49.9% patients had three or more risk factors. 6.6% patients had no apparent risk factors. Both BMI and waist hip ratio were abnormal in 16.66%. Dyslipidemias were observed in 46.66% cases. Hypercholesterolemia and LDL dyslipidemia was the commonest abnormality detected in both overweight and centrally obese groups.</p><p style="text-align: justify;"><strong>Keywords: Coronary Artery Disease, Dyslipidemia, Risk Factors.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-August-2017/IMJH-AUG-2017-10.pdf" target="_blank">Click here to Download Full Paper</a></span></h5>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3968394207189012694.post-43527864828536838922017-08-03T04:01:00.003-07:002017-08-03T04:01:43.684-07:00Medical Journal- July issue 2017<a href="http://imjhealth.org"><img class="alignnone wp-image-31 size-full" src="https://adpublications.org/wp-content/uploads/2015/11/imjh-banner.jpg" alt="Medical Journal: Published volume-3, Issue-7, July 2017 with ad publications" width="100%" height="40%"></a><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><a style="color: #ff0000;" href="http://www.adpublications.org/trends-of-steroid-modified-tinea-at-tertiary-care-hospital-in-india/">Trends of steroid modified tinea at tertiary care hospital in India</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Dermatophytes are the common fungal agents implicated in superficial skin infections worldwide, commonly known as tinea. They include species of Trichophyton, Microsporum and Epidermophyton. Infections of this organism have dramatically increased in last one decade by misuse of topical corticosteroids cream alone or in combination with topical antibacterial and antifungal agents. So this study was conducted with the aim to study about culprits (prescribers) and various offending agents. This study was conducted on 1239 consecutive patients of tinea between ages 1-70 years. Tinea was diagnosed by detailed history and clinical examination. Detailed inquiry was made for topical steroid use by recall method or relevant prescriptions. It was found that out of 1239, 1000 (80.7%) patients were using topical corticosteroid in any form. Most common age group was 21-30 years (38.3%). Pharmacist appeared as chief culprit (50.4%) and Clobetasol was major offending agent (34.8%). Majority (55.3%) of patients applied these formulations for 4 week or more. Study concluded that use of topical corticosteroids in tinea has become menace because of unethical manufacture, sales, prescription and end misuse by patient.</p><p style="text-align: justify;"><strong>Keywords: Dermatophytes, Topical corticosteroids, Tinea, Culprits, Offending agents.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-July-2017/IMJH-JUN-2017-9.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">__________________________</h2><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><a style="color: #ff0000;" href="http://www.adpublications.org/alarming-tropical-steroid-misuse-on-face-a-descriptive-study/">Alarming tropical steroid misuse on face: A descriptive study</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Acne vulgaris is a chronic inflammatory disease of the pilosebaceous unit. The clinical lesions are non-inflammatory open and closed comedones and or papules, pustules and nodules of varying degree of inflammation and depth. A lot of steroid, cosmetic and Ayurvedic products containing unlabeled depigmenting agent and steroids are available readily over the counter sale. The side effects of these products are not documented and can lead to adverse effects of continuous usage. This study was aimed to find out various offending depigmenting agents (topical unlabeled steroid containing cosmetics) for treatment of Acne and its side effects with type of offering persons. This study was conducted on 1110 OPD patient of which 1000 (90.10%) patients are using steroid and unlabeled steroid containing cosmetics and only 110 (9.90%) patient not using any topical application. Mostly affected common age group was 11-20 years (58%) with slight female preponderance (M:F 0.96). Urban patients were more affected than rural (74% v/s 26%). Unmarrieds (76%) were more affected than married (24%). Friends appeared as chief culprit or suggestions given to them (39%) followed by family member(13.5%), self-application (12%) influenced by advertisements, chemist(11.5%), general practitioner (9.5%), neighbor (4.5%), compounder(1.5%), parlor(2%) and only 2% by dermatologist. Betamethasone (32.5%) was major offending agent followed by Clobetasol (25%), unlabeled steroid containing cosmetics (12.5%), Aloe Vera gel (7.5%). Monomorphic acne was main side effect diagnosed in 79% of patients followed by pustular acne (8%), nodular acne (4%), rosacea (4%), nodulocystic acne (3%) and perioral dermatitis (2%). Study concluded that misuse of topical steroids and unlabeled steroid containing cosmetics causing various side effects. It is unethical to sale and use without the prescription of an authorised person. So these depigmenting agents should be banned to sell without authorization and without the prescription of an authorised person.</p><p style="text-align: justify;"><strong>Keywords: Acne, steroid, Culprits, Offending agent, cosmetics.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-July-2017/IMJH-JUL-2017-1.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_________________________</h2><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><a style="color: #ff0000;" href="http://www.adpublications.org/biochemical-characteristics-of-malaria-patients-with-their-association-with-severity-of-disease/">Biochemical characteristics of Malaria patients with their association with severity of disease</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Malaria is one of the oldest and most widespread disease which affects more than 2400 million people, over 40% of world's population, in more than 100 countries in tropics from South America to Indian Peninsula. This study was designed to assess the platelet counts, haematocrit &amp; liver enzymes (Alanine transaminase, Aspartate transaminase, Alkaline phosphatase) in patients of Plasmodium vivax &amp; Plasmodium falciparum malaria and its association with the severity and prognosis of disease. In a hospital based observational descriptive study, 100 patients with Plasmodium falciparum and/or vivax positive diagnosed by peripheral blood film examination and/or by MPQBC (Malaria Parasite Quantitative Buffy Coat) method were included and submitted to a complete clinical &amp; laboratory evaluation. Patients who were ≤ 14 years and who refused to give consent were excluded. They were divided into Plasmodium vivax and Plasmodium falciparum positive group; evaluated, compared and statistical analysis done. Out of total 100 cases of malaria positive, P. falciparum constituted 66% and P. vivax constituted 34%. The pathophysiological processes causing the haematological changes in malaria are complex and multiple<strong>. </strong>Thrombocytopenia presents with bleeding manifestations and it increases the severity of disease with poor prognosis.</p><p style="text-align: justify;"><strong>Keywords: </strong><strong>P. Vivax, P. Falciparum, Platelet, Haematocrit, Liver enzymes.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-July-2017/IMJH-JUL-2017-3.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">________________________</h2><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/kikuchi-fujimoto-disease-kfd-a-rare-case-report/">KIKUCHI-FUJIMOTO DISEASE (KFD): A Rare Case Report </a></span></strong></h2><p style="text-align: justify;"><strong>Abstract—</strong> Kikuchi-Fujimoto disease (KFD) is a rare disease. It has a worldwide distribution with a higher prevalence in Asians. KFD is usually a self limiting disease and benign in nature. Clinically it presents as regional cervical lymphadenopathy and sometimes may presents as generalized lymphadenopathy as well. Night sweats and low grade fever may also be associated in some cases. A case of a 36 year old female had attended in SMS Hospital. She presented with fever, weight loss and tender cervical lymph nodes. Diagnostic significance of KFD lies in that it may mimic some of the common diagnosis like SLE (Systemic Lupus Erythematosis), Tuberculosis, lymphoma and rarely adenocarcinoma. Diagnosis is usually made by biopsy of lymph node which shows fragmentation, necrosis and karyorrhexis. On thorough investigation this case was found of Kikuchi-Fujimoto disease (KFD) which is a rare disease. So case presenting with fever, weight loss and tender cervical lymph nodes should also be investigated for Kikuchi-Fujimoto disease (KFD).</p><p style="text-align: justify;"><strong>Keywords: Kikuchi-Fujimoto disease (KFD).</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-July-2017/IMJH-JUL-2017-5.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">________________________</h2><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><a style="color: #ff0000;" href="http://www.adpublications.org/hereditary-spherocytosis-in-a-17-year-girl-a-case-report/">Hereditary Spherocytosis in a 17 year girl: A case report</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Hereditary spherocytosis (HS) is a familial hemolytic disorder with marked heterogeneity of clinical features, ranging from an asymptomatic condition to a fulminate haemolytic anaemia. Although a positive family history of spherocytosis increases the risk for this disorder, it may be sporadic in some cases. Seventeen years old girl presented with mild anaemia, jaundice and moderate splenomegaly. Her haematological parameters supported diagnosis of hereditary spherocytosis. Appropriate treatment was started with an advice to patient to undergo splenectomy as an active part of management of the disorder. Mother and other siblings were normal.</p><p style="text-align: justify;"><strong>Keywords: </strong><strong>Anaemia, Jaundice, Splenomegaly, Hereditary, Spherocytosis.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-July-2017/IMJH-JUL-2017-6.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">__________________________</h2><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/outcome-analysis-of-intra-articular-distal-end-radius-fracture-treated-with-volar-plating/">Outcome analysis of Intra-articular distal end radius fracture treated with volar plating</a></span></strong></h2><p style="text-align: justify;"><strong>Abstract—</strong>Fractures of distal end radius are most common fractures of the upper limb. Various techniques have been described including closed reduction, percutaneous fixation and open reduction and fixation. This study was conducted to assess the functional and radiological outcomes of volar plate osteosynthesis to manage intra-articular distal end radius fracture. For this study, 30 patients with intraarticular distal end radius fractures involving radiocarpal joint operated with open reduction and internal fixation with the volar plate were taken. Minimum follow up 6 months were done. During the follow-up, radiological parameters were assessed in terms of radial length, radial inclination, radial (palmar) tilt, articular step-off, functional parameters were assessed in terms of range of motion i.e.dorsifleion, plantar flexion, pronation, supination radial and ulnar deviation and Gartland and Werley score. Mean age of patients was 46.8 years with male: female ratio 6:4. Mean radial height was 11.2mm, mean radial inclination was 21.8 degree and mean radial (palmar) tilt was 10 degrees. Average Gartland and Werley score was 3.6. Average dorsiflexion was 71 degrees, palmar flexion was 68 degrees, mean radial deviation was 16 degrees and mean ulnar deviation was 29 degrees. Mean pronation was 72 degrees and mean supination was 75 degrees. It was concluded that volar plating has good outcome for intraarticular distal end fractures of radius with minimal complications. So, it should be considered as the first line of management for intraarticular distal end radius fracture.</p><p style="text-align: justify;"><strong>Keywords: Intraarticular, Distal end Radius, Volar Plate, Gartland and Werley Score.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-July-2017/IMJH-JUL-2017-7.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_____________________________</h2><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><a style="color: #ff0000;" href="http://www.adpublications.org/thrombocytopenia-burden-and-its-associating-risk-factors-a-cross-sectional-study-at-a-tertiary-care-set-up/">Thrombocytopenia burden and its associating Risk factors: A cross-sectional study at a tertiary care set up</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Thrombocytopenia is a very common finding in the neonatal intensive care unit. This study was designed with aim to study the risk factors associated with neonatal thrombocytopenia. In this cross-sectional observational study, 263 newborns admitted in the NICU from October 2016 to December 2016 were enrolled in the study. Proportion of thrombocytopenia was found along with its various neonatal and maternal risk factors associated. Chi-square test was used to find out association. Neonatal thrombocytopenia was found in 29% of neonates; 64 % had early onset and 36 % had late onset thrombocytopenia. Mild, moderate and severe thrombocytopenia was found in 49 %, 34 % and 17 % respectively. Thrombocytopenia was found to be associated with APH and PROM among maternal factors and with LBW, prematurity and birth asphyxia among neonatal factors.</p><p style="text-align: justify;"><strong>Keywords: Thrombocytopenia, Neonatal Intensive Care Unit (NICU), Asphyxia</strong><strong>.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-July-2017/IMJH-JUL-2017-10.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">___________________________</h2><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/gynecological-morbidity-and-co-morbidity-in-postmenopausal-women-a-descriptive-study/">Gynecological morbidity and co-morbidity in postmenopausal women: A descriptive study</a></span></strong></h2><p style="text-align: justify;"><strong>Abstract—</strong>Menopause is very crucial phase of woman’s life. There are many health problems that are associated with postmenopausal phase. So this present study was conducted on 215 postmenopausal women with the aim to find out gynecological problems associated with postmenopausal period. This study observed that 70.5% women experienced hot flushes and sweating, 65.5% had insomnia, 37.6% complained of headache. Decreased libido was observed in 80.9% women and 54.4% reported dyspareunia. 78.1% women complained of backache. Joint pain was complained by 52.5% of women. 32% women noted weight loss and 26.5% women complained of weight gain after menopause. Among gynecological problems Genital Prolapse was most common morbidity found in 45.1% of cases followed by Cancer cervix in 12.5%, Fibroid uterus in 9.3%, Senile vaginitis in 5.6%, Ovarian neoplasm in 4.1%, Cancer endometrium 1%, Pyometra in 0.9%, Carcinoma vagina 0.4% and Carcinoma vulva in 0.4% of menopausal women. Genital prolapse was found with PMB in 9.2% cases and with PMB &amp; Vaginal discharge in 10.3% of cases.</p><p style="text-align: justify;"><strong>Keywords: Postmenopausal Phase, Gynecological Problems.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-July-2017/IMJH-JUL-2017-11.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">__________________________</h2><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><a style="color: #ff0000;" href="http://www.adpublications.org/risk-factor-and-outcome-with-gestational-diabetes-mellitus-gdm-a-cross-sectional-analysis/">Risk factor and outcome with Gestational Diabetes Mellitus (GDM): A Cross-sectional Analysis</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Gastational diabetes Mallitus (GDM) is a condition in pregnancy which may result bad maternal and neonatal outcomes. So this study was aimed to find out various risk factors associated with GDM. This study was conducted 500 females of 2<sup>nd</sup> and 3<sup>rd</sup> trimester pregnancy. They underwent GCT (Glucose Challenge Test) with 50 gm of glucose load which was followed by GTT (Glucose tolerance test) with 75 gm glucose recommended by WHO after 72 hrs of GCT irrespective of result of GCT. Out of 500 pregnant women 27(5.4%) women are diagnosed as GDM. In women with GDM gravida ≥3, age &gt;25 years and positive family h/o of diabetes were found with high proportion of GDM. PIH, preeclampsia and recurrent infections are most common antenatal complication seen in GDM group. It can be concluded from this that universal screening should be done for early diagnosis of GDM so complication related to tit can be controlled and bad pregnancy outcomes may be prevented.</p><p style="text-align: justify;"><strong>Keywords: Gastational diabetes Mallitus (GDM), Risk factors, Pregnancy outcomes.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-July-2017/IMJH-JUL-2017-12.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_______________________________</h2><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/knowledge-and-practice-of-adolescent-girls-about-menstruation-a-cross-sectional-study/">Knowledge and practice of adolescent girls about menstruation: A Cross-sectional study</a></span></strong></h2><p style="text-align: justify;"><strong>Abstract—</strong> Adolescence constitutes about 20 % of world’s population. Reproductive and sexual health problems are quite common in adolescent girls in India. Bad menstruation hygiene may lead to reproductive health problems. Unsafe menstrual practices expose them to risk thrice as much of contracting RTI, therefore it is important how adolescent girls maintain hygiene during menstruation. This study was conducted to assess knowledge and practices regarding menstruation in adolescent girls. Total 376 eligible adolescent girls were studied, out of that 337 (89.62%) knew about menstruation and out of them 45.10% considered that menstruation starts at puberty, followed by physiological process (34.42%) &amp; sign of reproductive maturity (12.46%) while 39.76% respondents thought it to be due to out flow of dirty blood. Out of 337 who knew about menstrual-cycle, only13.64% knew the fac<strong>t</strong> that conception is not possible during menstrual-cycle. 59.94% respondents had prior knowledge of menarche and majority (51.54%) had this knowledge from their mothers. Out of 325 girls, who were having menstrual period, although 214 (65.84%) were using sanitary napkins but remaining 34.16% were using cloths. When association of this practice with education was evaluated it was found that above primary educated were significantly more (P&lt; 0.001) in using sanitary napkins than girls of up to primary educated (69.47% v/s 40%). When change of material used during menstruation was asked, twice and more was answered in 194 (59.06 %), which was mot found to be associated with education (p=0.65). It was concluded that majority knew about menstruation but practice was not hygienic as they were using cloths and majority of them were less educated. So main emphasis should be given to female education.</p><p style="text-align: justify;"><strong>Keywords: Adolescent Girls, Menstruation, Knowledge and Practices.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-July-2017/IMJH-JUL-2017-13.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><p style="text-align: center;">____________________***Thank you for Being with us***____________________</p>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3968394207189012694.post-65495110457554473452017-08-03T03:34:00.001-07:002017-08-03T03:34:07.382-07:00Medical Journal- June issue 2017<a href="http://imjhealth.org"><img class="alignnone wp-image-31 size-full" src="https://adpublications.org/wp-content/uploads/2015/11/imjh-banner.jpg" alt="Medical Journal: Published volume-3, Issue-6, June 2017 with ad publications" width="100%" height="40%"></a><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/effects-of-platelet-rich-plasma-in-treatment-of-androgenetic-alopecia-aga-an-interventional-study/">Effects of Platelet Rich Plasma in Treatment of Androgenetic Alopecia (AGA): An Interventional Study</a></span></strong></h2><p style="text-align: justify;"><strong>Abstract—</strong> Androgenetic alopecia (AGA) is a common condition having severe psychosocial implications. Numerous modalities of treatment are there but none is satisfactory both to the patient and the treating physician. This present study was carried out on 50 patients of AGA aged between 20 to 50 years to find out the effect of PRP with micro needling on AGA. These selected cases were treated by activation of the procedure site (scalp) by micro needling technique and application of platelet rich plasma on the activated site. A total of 6 such sittings were given to each patient at interval of 30 days each, over a total period of 6 months. Macro photographs were taken at baseline and after 6 months by 2 independent observers who rated those using of standardized seven-point rating scale of clinical change. In this study, 24% patients perceived stoppage of hair fall, 68% patients noticed reduction in hair fall, 6% of the patients perceived no change in hair fall and remaining 2% patients perceived increased hair fall after last visit with minimal or no side effects. So over all 92% patients had noticed some clinical improvement in their condition. So it was concluded that PRP with micro needling is an effective combination in treating AGA. This may be because micro needling has its own action and it would also help in promoting penetration of PRP but the level of evidence of this fact as available published data is low. This demands further studies to gain more evidence before it is used more extensively.</p><p style="text-align: justify;"><strong>Keyword: Androgenetic Alopecia(AGA), Platelet Rich Plasma (PRP), Micro Needling.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-June-2017/IMJH-MAY-2017-14.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">____________________________</h2><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><a style="color: #ff0000;" href="http://www.adpublications.org/seropositivity-and-seasonal-trend-of-dengue-cases-in-jaipur-rajasthan-western-india-2010-2016/">Seropositivity and seasonal trend of dengue cases in Jaipur (Rajasthan), Western India (2010-2016)</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Dengue virus infection has emerged as a notable public health problem in recent decades in terms of its increased transmission to urban and semi urban areas. Study was conducted on samples of suspected dengue cases with the aim to find out seropositivity and seasonal pattern of dengue, which is important for effective control of a disease. For this study, samples were received in department of Microbiology, SMS Hospital Jaipur (Rajasthan) for Dengue IgM &amp; IgG during 1st January 2010 to 31st December 2016. Blood samples collected in plain vials were tested for IgM and IgG antibodies for dengue virus serotype DENV-1, 2, 3 and 4 by a solid phase in vitro immunochromatographic test. It was observed that out of 86,538 serum samples tested, 5011 (5.76 %) were found to be positive for dengue infection. Among these seven years, maximum numbers of dengue cases were identified in year 2013(33.12%). Seropositivity ranged from 0.73% in year 2016 to 13.1% in year 2010. Likewise when seasonal trend was explored it was found that 83.87% of total cases were found from September to November with peak in October. In rest of months around 1% of cases were there in each month except few more cases in August and December i.e. 4.23% and 6.25% respectively. It can be concluded that Dengue has become an endemic disease in this area. Occurrence of most of the cases in post-monsoon period indicates a need for acceleration of vector control programme prior to monsoon.</p><p style="text-align: justify;"><strong>Keywords: Dengue, Seropositivity, Seasonal Trends</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-June-2017/IMJH-JUN-2017-4.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_________________________</h2><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/gum-hypertrophy-warning-sign-of-acute-myeloblastic-leukemia-aml-m2-a-case-report/">Gum Hypertrophy- Warning Sign of acute myeloblastic leukemia (AML M2): A Case Report</a></span></strong></h2><p style="text-align: justify;"><strong>Abstract—</strong> Many systemic diseases are early indicated by oral manifestations. Among such systemic diseases Leukemia is one which shows characteristic oral manifestations. Acute myeloid leukemia (AML) is characterized by maturation arrest of myeloid cells which leads to increase in number of myeloblasts in the bone marrow and hemopoietic insufficiency. Patients with AML in general may present with a wide variety of (atypical) symptoms, which may range from minor symptoms to life-threatening complications. Gingival hyperplasia is most commonly seen with the AML subtypes acute monocytic leukemia (M5) and acute myelomonocytic leukemia (M4). Here, an unusual case of diffuse gum hypertrophy in a 25 year old Asian female which led to laboratory studies yielding a rapid and relatively early diagnosis of acute myeloblastic leukemia (AML M2) was reported. This case emphasizes that clinicians and dentists should be well acquainted with the oral manifestations of systemic diseases and stresses the role of gingival hypertrophy as a diagnostic indicator in leukemia.</p><p style="text-align: justify;"><strong>Keywords: Gingival enlargement, Leukemia, Acute Diffuse Myeloblastic.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-June-2017/IMJH-JUN-2017-5.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">______________________________</h2><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/outcome-assessment-of-composite-oro-mandibular-defect-reconstruction-with-double-skin-paddle-free-fibula-osteocutaneous-flap/">Outcome assessment of composite Oro-Mandibular Defect Reconstruction with Double Skin Paddle Free Fibula Osteocutaneous Flap</a></span></strong></h2><p style="text-align: justify;"><strong>Abstract— </strong>Free fibular flap is the most favored free flap for composite defects of oro-mandibular region. Composite defects involving mucosa, mandible and skin often require two free flaps for the reconstruction. A technique of harvesting two separate cutaneous paddles of free fibular flap each based on a definite peroneal artery perforator was presented in this study. Reconstruction of composite oro-mandibular defect was done with two independent cutaneous paddles (proximal skin paddle based on musculo-cutaneous perforator and distal skin paddle based on septo-cutaneous perforator) in 12 patients. Post operative outcome was good, with 11 cases having no loss of skin paddle. There was an outer skin paddle necrosis in one patient for which cover was given with pectoralis major myocutanous flap. A double paddle free fibula flap can be used to reconstruct composite defects providing inner lining as well as skin cover with good flap success rates and better functional and aesthetic patient outcomes, thus avoiding an additional free or regional flap morbidity and decreased operative time.</p><p style="text-align: justify;"><strong>Keywords: Oro-Mandibular Reconstruction, Free Fibula Flap.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-June-2017/IMJH-JUN-2017-7.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_______________________</h2><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/fetomaternal-outcome-complications-of-pregnancy-with-fibroids/">Fetomaternal Outcome &amp; Complications of Pregnancy with Fibroids</a></span></strong></h2><p style="text-align: justify;"><strong>Abstract—</strong>Fibroid (myoma) is the most common benign tumors of the uterus. Chances of complications are approximately 10-40% in the presence of fibroids. This study was aimed to assess the maternal &amp; fetal outcome and complications in pregnancy with fibroids. It was conducted on 20 pregnant women with fibroid. Routine basic investigations were done for all subjects included in the study. Ultrasonography was done at booking visit and during subsequent visits to assess changes in size of the fibroid and associated complications. It was found that Fibroids were more frequent in multigravidae (65%) than primigravidae (35%). Majoriy (70%) were diagnosed as having fibroid during routine antenatal visits and 30% were known case of fibroid prior to conception. Twenty five women had pain, 10% had threatened preterm labor, 15% had spontaneous miscarriage, 30% had anemia and placenta previa was diagnosed in 15% women. Majority (60%) had Lower segment cesarean section (LSCS) and only 40% had vaginal delivery. Though many fibroids are asymptomatic but fibroids during pregnancy can lead to complications during the antepartum, intrapartum, and postpartum period, so they need proper follow-ups and repeated assessment. Overall prognosis depends on their location and size</p><p style="text-align: justify;"><strong>Keywords: Fibroid, Myoma, Uterus Tumour, Fetomaternal outcome</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-June-2017/IMJH-JUN-2017-10.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_______________________</h2><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/hemimandiblectomy-with-and-without-intermaxillary-fixation-a-quincy-experiment/">Hemimandiblectomy with and without intermaxillary fixation: A Quincy experiment</a></span></strong></h2><p style="text-align: justify;"><strong>Abstract—</strong> Oral malignancy involving mandible, floor of mouth, tongue, and also palate when treating surgically often requires resection of mandible. Resection of mandible leads to loss of mandibular continuity, deviation of mandible towards resected site, altered mandibular movements, difficulty in swallowing, and impaired speech. Management of this type of mandibular defects without bony reconstruction is complex. Hemimandibulectomy with intermaxillary fixation prevent mandibular deviation and malocclusion.</p><p style="text-align: justify;"><strong>Keywords: Intermaxillary Fixation, Hemimandibulectomy, Mandibular Deviation.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-June-2017/IMJH-JUN-2017-12.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">____________________</h2><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><a style="color: #ff0000;" href="http://www.adpublications.org/thanatophoric-dysplasia-type-i-with-bilateral-corneal-opacities-a-case-report/">Thanatophoric Dysplasia Type I with Bilateral corneal opacities: A Case Report</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Thanatophoric dysplasia is the most common form of lethal skeletal dysplasia, diagnosed by its characteristic clinical and radiographic features. It has two types distinguished by radiological findings. Specific ocular features associated with Thanatophoric dysplasia have not known to be reported. A baby with clinical findings of a large head, short stature , low set ears, short and curved limbs, small thorax, bilateral corneal opacities and radiographs showing short and curved long bones, femurs like telephone- receiver look, H- shaped vertebrae, small iliac wings was reported. This rare case was thoroughly examined and investigated which came out to be a case of Thanatophoric Dysplasia Type I with corneal opacities. So when a case of Thanatophoric dysplasia Type 1 with bilateral corneal opacities was attended at pediatric department, a detailed report was prepared to publish such a rare case.</p><p style="text-align: justify;"><strong>Keywords: Skeletal Dysplasia, Corneal Opacities.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-June-2017/IMJH-JUN-2017-16.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_________________________</h2><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><a style="color: #ff0000;" href="http://www.adpublications.org/anthropometric-predictors-for-sexual-dimorphism-of-skulls-a-comparative-study/">Anthropometric predictors for sexual dimorphism of skulls: A Comparative study</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Quantitative morphometric measurements with advanced analytical methods are emerging as reliable methods for sex differentiation of skeletal remnants. Aim of present study was to determine the difference in morphometric measurements in male and female skull and to determine the independents predictors and accuracy for sex differentiation using discriminant function analysis. A comparative observational study was conducted using 44 skull of known sex including 24skulls of males and 20 skulls of females. Various morphometric parameters are measured and analyzed using univariate, multivariate and discriminant function analysis. Cranial AP length, Bi Zygomatic diameter, Nasal Height, Nasal width and Mastoid length were found to be significantly higher in male skull. Discriminant function analysis predicted correctly the sex of skull with 79.5% accuracy. Morphometric measurement of cranium can be developed as objective method of sex determination with higher accuracy and repeatability and further enhanced by advanced statistical method like discriminant function analysis.</p><p style="text-align: justify;"><strong>Keyword: Sexual Dimorphism, Morphometric Measurements, Skull.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-June-2017/IMJH-JUN-2017-17.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_________________________</h2><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><a style="color: #ff0000;" href="http://www.adpublications.org/acute-undifferentiated-febrile-illness-aufi-in-adult-hospitalized-patients-an-experience-from-a-tertiary-care-hospital-of-western-uttar-pradesh-region-from-north-india/">Acute Undifferentiated Febrile Illness (AUFI) in adult hospitalized patients: An experience from a tertiary care hospital of western Uttar Pradesh region from North India</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Acute undifferentiated febrile illness (AUFI) is a common occurrence in low and middle income groups countries like India and constitutes heavy burden on healthcare industry especially from month of June to September. AUFI includes various diseases which are very difficult to differentiate. So this study was conducted on 504 AUFI cases to present an etiological profile of these AUFI cases. It was found that among these 504 AUFI cases, 6.54% were Malaria, 15% Typhoid, 14% Dengue, 3.17% Chickenguniya, 4.56% were mixed infections and 60.7% were undiagnosed.</p><p style="text-align: justify;"><strong>Keyword: Acute Undifferentiated Febrile Illness (AUFI), Malaria, Undiagnosed Undifferentiated Febrile Illness (UUFI), Dengue, Chikungunia. </strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-June-2017/IMJH-JUN-2017-18.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">________________________</h2><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/symptom-score-questionnaire-for-nasolacrimal-duct-obstruction-nldo-in-adults-a-novel-tool-to-assess-impact-on-quality-of-life-after-endoscopic-dacryocystorhinostomy/">Symptom Score Questionnaire for Nasolacrimal Duct Obstruction (NLDO) in Adults – A novel tool to assess impact on quality of life after Endoscopic Dacryocystorhinostomy </a></span></strong></h2><p style="text-align: justify;"><strong>Abstract—</strong> Dacryocystorhinostomy (DCR) is a commonly applied surgical technique to treat nasolacrimal pathway obstruction. However, no disease-specific tools to assess the symptoms and the subjective outcome after DCR have been established. A specific Nasolacrimal Duct Obstruction Symptom Score (NLDO-SS) questionnaire was develop to evaluate the outcome and tested it in a prospective. Primary endoscopic dacryocystorhinostomy (EN-DCR) procedures were performed in 60 patients during 2013-2014. Preoperatively and during the three follow-up (3 month, 6 months and 12 months ) visits, the patients were asked to fill the NLDO-SS along with Glasgow Benefit Inventory (GBI) questionnaire. The success rate of EN-DCR was 91.67%. EN-DCR resulted in a significant reduction in all of the eight symptoms scores of the NLDO-S. The GBI scores indicated a benefit at 3 months and more benefit at 6 months, but no further improvement was found between 6 and 12 months. The correlation between the total GBI and NLDO-SS was significant. EN-DCR improves the quality of life as measured by the GBI. The NLDO-SS correlated with the GBI and gave more information about the benefits after EN-DCR than GBI alone. The NLDO-SS proved to be an effective tool to evaluate lacrimal obstructions and ENDCR benefits.</p><p style="text-align: justify;"><strong>Keywords: Endoscopic Dacryocystorhinostomy, Nasolacrimal Duct Obstruction Symptom Score (NLDO-SS), Glasgow Benefit Inventory (GBI), Quality Of Life.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-June-2017/IMJH-JUN-2017-19.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">______________________</h2><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><a style="color: #ff0000;" href="http://www.adpublications.org/cytomorphometric-study-of-effect-of-tobacco-smoking-on-buccal-mucosa-a-case-control-study/">Cytomorphometric Study of Effect of Tobacco Smoking on Buccal Mucosa: A Case control study </a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Tobacco smoking is associated with increasing risk of oropharyngeal cancer. Oral cytology, mainly based on the presence of nuclear or cytoplasmic alterations, can easily be performed to detect cancer at an early stage and provides a quantitative technique. The objective of the present study was to assess the effect of smoking on buccal mucosa using cytomorphometry. This case control study included 36 smoker subjects and 36 non-smoker controls between the age of 30 and 70 years. Buccal epithelial cells were collected with a brush and fixed smears were stained with Papanicolaou stain and cytomorphometric analysis performed using image analysis software (Image J v 1.47). Smoker group was found to have higher mean nuclear diameter (MND), lower in mean Cellular diameter (MCD), and higher nucleo-cytoplasmic ratio as compared to normal subjects. This change in nuclear parameters indicates smoking-related cellular adaptation, leading to progression towards dysplasia. Cytomorphometric changes could prove to be the earliest indicators of these cellular alterations.</p><p style="text-align: justify;"><strong>Keywords: Cytomorphometry, Smoker, Buccal Mucosa.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-June-2017/IMJH-JUN-2017-20.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">________________________</h2><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><a style="color: #ff0000;" href="http://www.adpublications.org/effect-of-caudal-epidural-injection-for-management-of-lumbar-spinal-stenosis-a-randomized-controlled-trial/">Effect of Caudal Epidural Injection for management of Lumbar Spinal Stenosis: A randomized controlled Trial</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Chronic low back pain (LBP) is a common cause of morbidity and work absenteeism worldwide. This hospital based randomized, controlled, interventional study is conducted to assess the effectiveness of caudal epidural steroid injection in lumbar spinal stenosis. Study subjects were chronic low back pain patients attending at department of Physical Medicine and Rehabilitation (PMR), Sawai Man Singh Hospital, Jaipur (Rajasthan) India. For study purpose, 60 LBP cases were taken in Study group and 60 cases were taken for control group. To compare the effect between conservative treatment alone and added with caudal epidural injection of steroid plus saline in lumbar spinal stenosis, in study group, a mixture of MPA (3mg/kg body wt.) plus 16 ml of normal saline was injected in epidural space along with conservative treatment and in control group only conservative treatment was given. It was observed in this study that patient had more significant improvement in low back pain, leg pain, walking distance and functional activity after caudal epidural block in the study group than control group for a period of 3-6 months. So it was concluded that when conservative treatments were combined with interventional methods in form of caudal epidural steroid injection the amount of relief gets augmented as compared to the conservative treatment alone resulting in the patient benefiting in terms of much better symptom control and pain relief, improvement in anxiety, depression and activity limitations and quality of life.</p><p style="text-align: justify;"><strong>Keywords: Chronic low back pain (LBP), Methylprednisolone Acetate.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-June-2017/IMJH-JUN-2017-22.pdf" target="_blank">Click here to Download Full Paper</a></span></h5>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3968394207189012694.post-78908501542179295412017-08-03T03:02:00.001-07:002017-08-03T03:02:15.832-07:00Medical Journal- May issue 2017<a href="http://imjhealth.org/issue-april-2017.php"><img class="alignnone wp-image-31 size-full" src="https://adpublications.org/wp-content/uploads/2015/11/imjh-banner.jpg" alt="Medical Journal: Published volume-3, Issue-5, May 2017 with ad publications" width="100%" height="40%"></a><h2 style="text-align: center;"><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/chikungunya-fever-in-children-a-descriptive-study/">Chikungunya fever in children: A Descriptive Study </a></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>In the Indian sub-continent, first isolation of the chikungunya virus was done in Kolkata during 1963. During 2006 reports of large scale outbreaks in several parts of India have confirmed the re-emergence of this virus in the country. Since the incidence of this disease is increasing. So a retrospective analysis of laboratory confirmed chikungunya patients admitted to pediatric ward was done to study biochemical profile of chikungunya fever in children. Total 51 children were laboratory confirmed for chickungunya, 36 of them had isolated chikungunya infection. Male/female ratio of isolated chikungunya was 2.6:1. Fever was invariably present, associated constitutional symptoms consisted of skin rash, vomiting, diarrhea, pain abdomen, cough, corrhyza, myalgia and bleeding manifestations. The most characteristic feature of the infections in infants was skin manifestations in form of symmetrical superficial vesiculobullous lesions &amp; maculopapular erythematous rash. Nine patients (25%) had neurological manifestations. Joint pain was present in only three patients but none had arthritis. Most common hematological abnormality revealed thrombocytopenia in 39% cases. There was mild to moderate elevation of liver enzymes in 13 patients (36%). Average length of hospital stay was 5.1 days. Thirty four patients recovered completely &amp; two left against medical advise. It is concluded from this study that skin manifestations and neurological manifestations are common in younger age group apart from other constitutional symptoms. Arthralgia and chronic polyarthritis is rare in this age group as found in adults.</p><p style="text-align: justify;"><strong>Keyword: </strong><strong>Chikungunya in Children; Viral Fever; Vesiculobullous Lesions.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-May-2017/IMJH-MAY-2017-1.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_________________________</h2><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/paraquat-poisoning-lethal-herbicidea-rare-case-report/">Paraquat Poisoning (Lethal Herbicide):A Rare Case Report</a></span></strong></h2><p style="text-align: justify;"><strong>Abstract—</strong> Paraquat, chemically 1, 1’ dimethyl-4-4’-bipyridinium, is a green colored herbicide. It is one of the most lethal herbicide and is hazardous in very small quantities. More than 93% of deaths by paraquat are suicidal in nature. Poisoning by paraquat is commoner in developing countries because of agriculture based economy. The presentation of paraquat poisoning varies from case to case and depends on the amount consumed. As the compound is highly lethal, an early suspicion &amp; management is must to prevent complications. Present case is of paraquat poisoning with full blown early picture of mucosal ulceration, pneumonitis and acute kidney injury which later on complicated in esophageal perforation, pneumothorax and pneumomediastinum.</p><p style="text-align: justify;"><strong>Keywords: Paraquat, AKI, Pneumomediastinum, Pneumonitis.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-May-2017/IMJH-MAY-2017-2.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">____________________________</h2><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/perinatallethal-osteogenesis-imperfecta-type-ii-a-with-white-scleraea-case-report/">Perinatallethal Osteogenesis Imperfecta Type II A with white sclerae:A Case Report </a></span></strong></h2><p style="text-align: justify;"><strong>Abstract—</strong> Osteogenesis Imperfecta is a genetic connective tissue disorder. It has clinically heterogeneous four types. Type 2 is the most severe and perinatally lethal form having small thorax, curved limbs and blue/gray sclerae. It is further subclassified into 3 types. A baby with sign and symptoms with macrocephaly, retrognathia, low set ears, widely placed eyes with white sclerae, complete cleft palate, narrow chest, curved and shortened limbs, B/L CTEV, left undescended testis with hypospadiasis was reported. This rare case was thoroghly examined and investigated which came out to a case of 'Osteogenesis Imperfecta type 2 A' having white sclerae. So case having such symptoms were should be investigated for Osteogenesis Imperfecta.</p><p style="text-align: justify;"><strong>Keywords: Osteogenesis Imperfecta Type 2, White Sclerae, Genetic disorder, Perinatally lethal condition.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-May-2017/IMJH-MAY-2017-8.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_________________________</h2><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><a style="color: #ff0000;" href="http://www.adpublications.org/fungal-infections-in-otorhinolaryngology-a-descriptive-study/">Fungal infections in Otorhinolaryngology: A Descriptive Study</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Fungal organisms are ubiquitous. A common location for these organisms to enter the human body is through the external acoustic canal, oral cavity, and pharynx and sino-nasal cavity. A study was conducted with clinical and mycological analysis of various fungal infections in ENT. Patients suspected for having fungal infections attending at Department of ENT were interrogated and analysed. Swabs collected from these cases were sent for direct microscopy by KOH mounts for fungal examination and fungal culture. Microbiological confirmed 100 cases were finally included in the study Histopathological examination of nasal mass and polyposis was also done. It was observed in this present study otomycosis was most common and accounted for 84% of the total cases followed by candidiasis in oral cavity and pharynx in 9%, allergic fungal rhinosinusitis in 4% and rhinosporidiosis in 3%. Aspergillus niger was that most common fungus isolated in 61% cases, followed by Candida albicans in 24% cases, Aspergillus flavus in 9% cases, Aspergillus fumigatus and Rhinosporodium seeberi in 3% cases each. All the cases of fungal infection of oral cavity and oropharynx were due to Candida albicans.</p><p style="text-align: justify;"><strong>Keyword: Fungal infection, Otomycosis, Aspergillus, Candida</strong><strong>.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-May-2017/IMJH-MAY-2017-9.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">________________________</h2><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/variation-in-origin-of-lateral-circumflex-femoral-artery-a-case-report/">Variation in origin of Lateral Circumflex Femoral Artery: A Case Report</a></span></strong></h2><p style="text-align: justify;"><strong>Abstract—</strong> Profunda femoris artery and its branches are extensively used in different diagnostic and therapeutic interventions. Knowledge about the anatomical variations is important to prevent iatrogenic complications. During routine dissection for teaching medical graduates, a variant vascular pattern of lateral circumflex femoral arteries was observed in an adult cadaver. The Lateral Circumflex Femoral Artery was found to be arising directly from the Femoral Artery on its posterior aspect, 7.0 cm distal to the inguinal ligament on the left side.</p><p style="text-align: justify;"><strong>Keywords: </strong><strong>Profunda Femoris Artery, Lateral Circumflex Femoral Artery, Femoral Artery.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-May-2017/IMJH-MAY-2017-10.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">____________________________</h2><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/effect-of-agave-sisalana-perrine-extract-on-the-ovarian-and-uterine-tissues-and-fetal-parameters-comparative-interventional-study/">Effect of Agave sisalana Perrine extract on the ovarian and uterine tissues and fetal parameters: Comparative Interventional Study</a></span></strong></h2><p style="text-align: justify;"><strong>Abstract—</strong> Agave sisalana (Agavaceae), commonly known as sisal plant has an anti-inflammatory, analgesic, anthelmintic, bactericidal and insecticidal activities. Its toxic effects on female reproduction are unknown. This comparative interventional study aimed to assess the ovarian and uterine tissues and fetal parameters of rats treated with the extract of sisal waste (100 mg kg<sup>-1</sup> body weight), obtained from decortications of the A. sisalana. The control received distilled water. The treatments were performed orally for 30 consecutive days. The results showed that the estrous cycle and ovarian tissue were not affected by plant extract. There was an significant increase (p&lt;0.05)in the thickness of perimetrium in females treated with A. sisalana. The placental and litter weights also increased significantly whereas the litter size significantly decreased (p&lt;0.05) in the group receiving the extract. In conclusion, A. sisalana showed no pathological changes in the ovaries and uterine endometrium, but had a negative effect on the litter size and weight.</p><p style="text-align: justify;"><strong>Keywords: Sisal, Gonadotoxicity, Reproduction Fetotoxicity.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-May-2017/IMJH-MAY-2017-11.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_____________________________</h2><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><a style="color: #ff0000;" href="http://www.adpublications.org/bio-socio-demographic-risk-factors-of-gestational-diabetes-a-case-control-study/">Bio-Socio-demographic Risk factors of Gestational Diabetes: A Case Control Study</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>India is second largest country to have people with Diabetes Mellitus (DM) in world. Gestational Diabetes Mellitus (GDM) has bad pregnancy outcomes so this present case control study was conducted on 50 pregnant women (ANCs) with GDM and 50 normal ANCs to assess the bio-socio-demographic risk factors of Gestational Diabetes. It was found that GDM was significantly associated with age, religion, residence and BMI of woman. GDM was found significantly more with increasing age and increasing BMI. ANCs residing in urban areas and belonging to Muslim religion were more pron to have GDM than their counter parts. Family history of diabetes also favors in occurrence of GDM. So clinicians should increase GDM screening at first ANC visit and prompt treatment is recommended to prevent complication. Early identification of woman at risk of GDM may prevent maternal and perinatal morbidity.</p><p style="text-align: justify;"><strong>Keyword</strong>- <strong>Gestational Diabetes Mellitus, Risk factors, Impaired Glucose Tolerance, Bio-socio-demographic factors.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-May-2017/IMJH-MAY-2017-22.pdf" target="_blank">Click here to Download Full Paper</a></span></h5>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3968394207189012694.post-72362756175176577692017-05-01T23:14:00.001-07:002017-05-01T23:14:13.482-07:00IMJ Health April 2017<a href="http://imjhealth.org/issue-april-2017.php"><img class="alignnone wp-image-31 size-full" src="https://adpublications.org/wp-content/uploads/2015/11/imjh-banner.jpg" alt="Medical Journal: Published volume-3, Issue-4, April 2017 with ad publications" width="100%" height="40%"></a><h2 style="text-align: center;"><span style="text-decoration: underline;"><span style="color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/lipid-profile-in-subclinical-hypothyroidism-a-case-control-study/">Lipid Profile in Subclinical Hypothyroidism: A Case-control Study</a></strong></span></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Subclinical Hypothyroidism is a much more common disorder with a world-wide occurrence as compared to overt Hypothyroidism. Overt Hypothyroidism is associated with abnormalities of lipid metabolism, but the significance of dyslipidemia in subclinical hypothyroidism (SCH) remains controversial.</p><p style="text-align: justify;"><strong>Aims: </strong>To compare the lipid profile between subclinical hypothyroid patients &amp; healthy controls (age &amp; sex matched) so as to determine any association between lipid profile &amp; subclinical hypothyroidism.</p><p style="text-align: justify;"><strong>Materials and Methods: </strong>In a case-control study, Thyroid stimulating hormone (TSH), free T3, free T4, anti thyroperoxidase (TPO) antibodies, total cholesterol, high density lipoprotein(HDL) cholesterol, low density lipoprotein (LDL) cholesterol, Very low density lipoprotein (VLDL) cholesterol, serum triglycerides were measured in 50 patients with subclinical hypothyroidism and 50 age- and sex-matched Euthyroid controls after an overnight fasting.</p><p style="text-align: justify;"><strong>Results: </strong>Mean serum triglycerides (TG) and very low-density cholesterol (VLDL) were significantly higher in patients with SCH than controls (P &lt; 0.05). No association was found between serum total cholesterol, high density lipoprotein (HDL) cholesterol, low density lipoprotein (LDL) cholesterol and SCH.</p><p style="text-align: justify;"><strong>Conclusions: </strong>Dyslipidemia is more common in SCH compared to controls. High serum triglycerides and VLDL were observed in patients with SCH.</p><p style="text-align: justify;"><strong>Keywords: S</strong><strong>ubclinical hypothyroidism (SCH), TSH, Lipid Profile</strong><strong>.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-April-2017/IMJH-APR-2017-1.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_____________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><strong><span style="color: #ff0000;"><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/disseminated-intra-abdominal-hydatidosis-a-case-report/">Disseminated Intra-Abdominal Hydatidosis: A Case Report </a></span></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Hydatid cyst disease is a zoonotic disease caused by the larval stage of Echinococcus granulosus and Echinococcus Multilocularis. In human beings, apart from involving the liver and lungs commonly, it also affects other organs like brain, kidney and spleen. Rupture of Hydatid cyst into abdominal cavity causes disseminated abdominal hydatidosis which is a rare complication. Here this rare case was presenting as a 48 years old female patient of disseminated intra-abdominal hydatidosis. Disseminated abdominal hydatidosis occurs secondary to traumatic or surgical rupture of a hepatic cyst. Ultrasonography or Computed Tomography findings are helpful in making a definitive diagnosis. For localized hydatid cysts in liver or lungs, the management of choice is preferably surgical while the treatment for disseminated intra-abdominal hydatidosis remains medical. Albendazole is the treatment of choice for disseminated abdominal hydatidosis.</p><p style="text-align: justify;"><strong>Keywords: Zoonotic, Disseminated, Abdominal, Hydatid Cyst</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-April-2017/IMJH-APR-2017-4.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">__________________________</h2><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/immune-reconstitution-inflammatory-syndrome-iris-associated-multifocal-leukoencephalopathy-pml-in-patients-with-human-immunodeficiency-virus-hiv-infection-a-case-report/">Immune Reconstitution Inflammatory Syndrome (IRIS) Associated Multifocal Leukoencephalopathy (PML) in Patients with Human Immunodeficiency Virus (HIV) Infection: A Case Report </a></span></strong></h2><p style="text-align: justify;"><strong>Abstract—</strong>Progressive Multifocal Leukoencephalopathy (PML) is seen mostly in advanced human immunodeficiency virus (HIV) infection. In some individuals, especially those with very low CD4<sup>+</sup> counts, worsening of PML or new-onset PML can be observed after the initiation of highly active antiretroviral therapy (HAART). A case of IRIS associated PML is reported here which is much more rare as compared to PML in HIV patients unrelated to HAART. This is thought to be secondary to immune reconstitution inflammatory syndrome (IRIS). IRIS is defined as a paradoxical deterioration of a previously existing infection which is related to the immune system recovery. It is suggested to occur due to an imbalance of CD8<sup>+</sup>/CD4<sup>+</sup> T cells. So in HIV cases with low CD4 counts and if one is on HAART then should be further investigated for IRIS and PML.</p><p style="text-align: justify;"><strong>Keywords: PML, HIV, HAART, IRIS </strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-April-2017/IMJH-APR-2017-5.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_________________________</h2><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><a style="color: #ff0000;" href="http://www.adpublications.org/role-of-3-dimensional-sonohysterography-in-infertility/">Role of 3-Dimensional Sonohysterography in Infertility</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>3D ultrasound (3-dimensional sonography) when combined with sonosalpingography, it provides detailed information regarding internal and external contours of the uterus, without the need for radiation contrast material or surgical intervention. This study was done because of the need of such diagnostic modality that is highly accurate as well as least invasive. A descriptive study was conducted on 50 infertile females to assess the diagnostic value of 3-dimensional SHG in reference of diagnostic hystero-laproscopy (DHL) assuming as gold standard. It was found that sensitivity of 3-dimensional SHG reasons of tubal patency, ovarian pathology and uterine cavity was found 97.6%, 90.91% and 71.43% respectively. And diagnostic accuracy of 3-dimensional SHG in reference of DHL for tubal patency, ovarian pathology and for uterine cavity was found 96%, 92% and 96% respectively. So it can be concluded from present study that 3-Dimensional sonohysterography is an efficient tool to assess women with infertility. Its sensitivity, specificity, and diagnostic accuracy is comparable to hysterolaproscopy.</p><p style="text-align: justify;"><strong>Keywords: Infertility, </strong><strong>3-dimensional SHG (SHG), Diagnostic Hystero-Laproscopy (DHL), Diagnostic Values.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-April-2017/IMJH-APR-2017-6.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_________________________</h2><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/medial-temporal-lobe-encephalitis-associated-to-chikungunya-virus-infection-a-case-report-during-first-epidemic-in-americas/">Medial Temporal Lobe Encephalitis associated to Chikungunya Virus Infection: A Case Report during First Epidemic in Americas</a></span></strong></h2><p style="text-align: justify;"><strong>Abstract—</strong>Chikunguniya can be associated with encephalitis which is a rare complication of chikunguniya. Such a rare case was attended at National University Hospital (Hondura) in August 2015, which was studied in detail. A 64 years, Honduran patient was admitted during the convalescent period of an acute febrile illness with arthralgias one month prior. Two weeks later, he developed a severe inability to form new memories disorientation to date and time; forgetting family member´s names and daily routines. The patient exhibited spontaneous crying and sadness. Premorbid cognitive, behavioral and functional abilities were normal. Patient was evaluated and investigated. On investigation Chikungunya IgM antibodies were positive and on Brain MRI revealed predominantly right medial temporal lobe hyperintensities in Diffusion weighed images; also seen in FLAIR sequences. Patient was confirmed as Chikunguniya case associated with medial temporal lobe encephalitis. So it is suggested that patients presenting with a rapidly evolving amnestic syndrome after an acute febrile illness with polyarthralgias in an endemic region should be tested for the Chikungunya virus. More cases must be described and studied, however, to better characterize this condition.</p><p style="text-align: justify;"><strong>Keywords: </strong><strong>Temporal Lobe, Encephalitis, Chikungunya</strong><strong>.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-April-2017/IMJH-APR-2017-14.pdf" target="_blank">Click here to Download Full Paper</a></span></h5>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3968394207189012694.post-8972732768808912212017-04-01T04:59:00.001-07:002017-04-01T04:59:17.152-07:00Medical Journal:: IMJ Health : March 2017<a href="www.imjhealth.org"><img class="alignnone wp-image-31 size-full" src="https://adpublications.org/wp-content/uploads/2015/11/imjh-banner.jpg" alt="Medical Journal: Published volume-3, Issue-3, March 2017 with adpublications" width="100%" height="40%"></a><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><a style="color: #ff0000;" href="http://www.adpublications.org/mefenamic-acid-induced-acute-generalized-exanthematous-pustulosis-agep-a-case-report/">Mefenamic acid induced Acute Generalized Exanthematous Pustulosis (AGEP): A Case Report</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Acute Generalized Exanthematous Pustulosis (AGEP) is a rare severe cutaneous adverse reaction mainly caused by drugs. It is characterized by an acute pustular eruption over the body along with fever and leukocytosis. It has been known to resolve spontaneously over a period of 2-3 weeks without long term sequelae. However it is of utmost importance for the physicians to clinically identify this condition as to prevent unwanted extensive management. Mefenamic acid is a non-steroidal anti-inflammatory drug (NSAIDs) prescribed over the counter for pain relief. A sixteen year old boy is reported here who developed AGEP after taking mefenamic acid for fever and joint pain. It was diagnosed with the help of history, clinicopathological correlation, AGEP validation score and recovery on withdrawal of the drug. To the best of our knowledge this is the first case report of mefenamic acid causing AGEP in the literature.</p><p style="text-align: justify;"><strong>Keywords: Mefenamic acid, Acute Generalized Exanthematous Pustulosis, AGEP.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-March-2017/IMJH-MAR-2017-8.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">________________________</h2><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><a style="color: #ff0000;" href="http://www.adpublications.org/assessment-of-willingness-for-organ-donation-a-cross-sectional-descriptive-study/">Assessment of Willingness for Organ Donation: A cross-sectional descriptive study</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Organ donation is very important action by which a life can be saved, so it is advisable to determine fill the formalities for organ donation at least at the time of death. But due to lack of awareness along with myths and misconceptions add to the low percentage of organ donation in India. So this descriptive study was carried out on 815 more than 18 year aged participants with the aim to assess the willingness for organ donation in participants with reasons for willingness as well as for unwillingness. It was found willingness for donate their organ were only in 50.4% of participants whereas 20.9% did not want to donate and 28.7% did not decide. The most common reason found for willingness in this study was ‘I could save many life from donating my body' i.e. in 80.8% followed by ‘After death I will be alive' response (51.5%), ‘It’s saintly work' response (50.6%), 'Society will be benefited' response in 42.2% and 'On being motivated by media and people ' response in 35.8% of participants. And when reasons for not willing to donate their organ was discovered in this study, it was found that majority (55.9%) could not explain any reason for that while 17.1% were feared that family and doctors will not save them, 14% said that family members will sell their organ (14.0%) and few (12.9%) said that it’s against my religion. It can be observed that a quantifiable (35.8%) of participants were motivated for willingness for organ donation through media and people are having myths regarding organ donation. So to promote organ donation, awareness for organ donation and its related issues should be encouraged through various medias.</p><p style="text-align: justify;"><strong>Keywords: Organ Donation, Willingness.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-March-2017/IMJH-MAR-2017-9.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_________________________</h2><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/prevalence-of-post-operative-surgical-site-infection-in-a-district-hospital-of-western-rajasthan-india/">Prevalence of Post-operative Surgical site infection in a district Hospital of western Rajasthan India</a></span></strong></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong> Wound infection is the second commonest complication of wound healing. This study was carried out on 250 post-operative cases operated at a district hospital of western Rajasthan, India with the aim the aim to find out prevalence of post-operative surgical site infection and its causing organism. After taking personal information and detailed clinical, operative and post-operative history of these cases, swab from post-operative wound was taken and sent for culture and sensitivity test in Microbiology. Association was inferred with Chi-square test. Post operative surgical site infection rate was found 11.6 % which was found significantly more in intestinal surgeries than the other. Most common causative organism for infection was Staphylococci cases followed by Streptococci, E. Coli and Klebsella. Out of total 11.6% infected cases, majority (8.8%) of patients had infection with more than one organism only 2.8% were having single organism.</p><p style="text-align: justify;"><strong>Keywords</strong><strong>—</strong> <strong>Post-operative surgical Site Infection (SSI), Micro-organism, SSI Infection Rate.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-March-2017/IMJH-MAR-2017-10.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_____________________</h2><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/comparison-of-resistance-and-sham-training-of-expiratory-muscles-on-pulmonary-functions-in-patients-with-spinal-cord-injury-an-interventional-study/">Comparison of Resistance and Sham Training of Expiratory Muscles on Pulmonary Functions in Patients with Spinal Cord Injury: An Interventional Study</a></span></strong></h2><p style="text-align: justify;"><strong>Abstract—</strong> Respiratory complications are major sources of morbidity and mortality in spinal cord injury (SCI). Improvement in expiratory muscle strength may be associated with improved cough and clearance of secretions. So that expiratory muscle training are advised in SCI cases to improve expiratory muscle strength. This study was conducted to compare the effect of Resistance and Sham training on pulmonary function test in spinal cord injury cases. It was found the mean value of all the parameters of PFT of Sham training was found to increase from baseline to 1<sup>st</sup> and 2<sup>nd</sup> follow up. This difference was found significant in all the parameters of PFT at 2<sup>nd</sup> follow up, but FEV<sub>1</sub> and PIFR of 1<sup>st</sup> follow up (p value &lt; 0.05) only. Likewise, it is also observed that the mean value of all the parameters of PFT of test group was found to increase from baseline to 1<sup>st</sup> and 2<sup>nd</sup> follow up. This difference was found highly significant (p value &lt;0.001) in all the parameters of PFT at 1<sup>st</sup> and 2<sup>nd</sup> follow up. So it can be concluded that however both the type of training improve PFTs but the improvement of high resistance training was significantly more than they were for sham training.</p><p style="text-align: justify;"><strong>Keywords: Spinal Cord Injury (SCI), Pulmonary Function Test, Resistance Training and Sham training.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-March-2017/IMJH-MAR-2017-11.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">___________________________</h2><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><a style="color: #ff0000;" href="http://www.adpublications.org/perimenopausal-symptoms-quality-of-life-and-eating-behavior-in-west-algerian-women/">Perimenopausal symptoms, quality of life and eating behavior in west Algerian women </a></strong></span></h2><p style="text-align: justify;"><strong>Abstract— </strong>This study was conducted to find out the impact of menopausal transition symptoms on quality of life and eating behavior in west Algerian women.</p><p style="text-align: justify;"><strong>Subjects and methods:</strong> A prospective cross sectional survey was conducted between February 22 and April 30, 2016 in Oran (west Algeria). Eighty (48±2 years) perimenopausal women participated to the study. A structured interview survey was developed on socioeconomic level, climacteric symptoms and quality of life. Daily energy expenditure (DEE) was assessed by an adapted questionnaire and food intake by a 24h "Recall and Record".</p><p style="text-align: justify;"><strong>Results.</strong> Hot flushes, night sweats, palpitations, anxiety, headaches, memory loss and insomnia were the symptoms feeling by women. The quality of life assessment showed that 53% had a moderate quality of life (10 to 15 symptoms), 16% with poor quality of life (16-20 symptoms) whereas 25% had a good quality of life (5 to 10 symptoms) and 6% of women had an excellent quality of life (≤ 5 symptoms). At this time of the menopausal transition, 64% reported modification in their eating behavior.</p><p style="text-align: justify;"><strong>Conclusion:</strong> Clinical symptoms of perimeanopausal period influence the quality life of women on menopausal transition.</p><p style="text-align: justify;"><strong>Keywords: Perimenopause, Quality of life, Behavior food.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-March-2017/IMJH-MAR-2017-2.pdf" target="_blank">Click here to Download Full Paper</a></span></h5>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3968394207189012694.post-53898383754304554122017-03-07T03:37:00.003-08:002017-03-07T03:37:53.293-08:00IMJ Health : February 2017<a href="www.imjhealth.org"><img class="alignnone wp-image-31 size-full" src="https://adpublications.org/wp-content/uploads/2015/11/imjh-banner.jpg" alt="Medical Journal: Published volume-3, Issue-2, February 2017 with adpublications" width="100%" height="40%"></a><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><a style="color: #ff0000;" href="http://www.adpublications.org/relation-between-back-extensor-strength-bone-mineral-density-kyphosis-and-lordosis-in-elderly-women/">Relation between Back Extensor Strength, Bone Mineral Density, Kyphosis and Lordosis in Elderly Women </a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Kyphosis and lordosis changes might be related to back extensor weakness and osteoporosis. The purpose of this study was to find out the correlations between thoracic kyphosis, lumbar lordosis with back extensor strength (BES) and bone mineral density (BMD).</p><p style="text-align: justify;"><strong>Methods: </strong>Thoracic kyphosis, lumbar lordosis, maximal isometric strength of the back extensors and BMD of the lumbar vertebral were evaluated in 47 elderly (50-75 years old)women. BMD of the lumbar vertebral was measured using Dual-Energy X-Ray Absorptiometry (DEXA) and kyphosis and lordosis degree were assayed using a flexible ruler. The maximal isometric strength of the back extensors was measured using an isometric manual muscle tester (MMT). Data were analyzed using ANOVA and independent t-test at p≤0.05 level of acceptance.</p><p style="text-align: justify;"><strong>Results: </strong>A significant reverse correlation was shown between BES and kyphosis (p=0.044, r=-0.30). No significant correlation were found between BES and lordosis degree, nor between lumbar vertebral BMD and, both, kyphosis and lordosis degrees. However, there was a significant difference in BES between three groups with various degree of kyphosis (p≤ 0.05).</p><p style="text-align: justify;"><strong>Conclusion: </strong>It can be concluded that the severity of thoracic kyphosis may be influenced by BES. So, stronger back extensor can prevent thoracic kyphosis despite decreased BMD.</p><p style="text-align: justify;"><strong>Key Words: Bone Density, Muscle Strength, Kyphosis, Lordosis</strong>.</p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-February-2017/IMJH-NOV-2016-2.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">___________________</h2><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><a style="color: #ff0000;" href="http://www.adpublications.org/pregnancy-outcomes-of-oligohydramnios-at-term-diagnosed-by-ultra-sonography-usg-a-case-control-study/">Pregnancy Outcomes of Oligohydramnios at Term diagnosed by Ultra Sonography (USG): A Case Control study </a></strong></span></h2><p style="text-align: justify;"><strong>Abstract— </strong>This study was conducted to find out if AFI ≤ 5 cms has any clinical significance in identifying the subsequent fetal distress &amp; associated maternal &amp; perinatal outcomes, in pregnancies beyond 37 weeks.</p><p style="text-align: justify;"><strong>Methodology: </strong>This is a prospective case control study done from July 2010 to July 2012 (24 months) at Dr Vasantrao Pawar Medical College, Hospital and Research Center. Adgaon, Nashik. It study the pregnancy outcome comparison of 58 Anenatal Cases(ANCs)as Study Group with diangosis of oligohydramnios (AFI ≤ 5 cms) by ultrasound after 37 completed weeks of gestation were compared with 58 ANCs (Control Group) with no oligohydramnios (AFI &gt; 5 cms). These two groups were matched for other variables like age, parity, gestational age and any pregnancy complication.</p><p style="text-align: justify;"><strong>Results: </strong>There was significant difference between two groups. Hypertension and Preeclampsia were found significantly more in ANCs with oligohydramnios. FHR deceleration was also significantly higher in women with oligohydramnios. Women require LSCS were also significantly more in women with oligohydramnios. Newborn borned by women with oligohydramnios had significantly more chances to admit in NICU than in newborn born by women without oligohydramnios.</p><p style="text-align: justify;"><strong>Conclusion: </strong>It can be concluded from this study that women with oligohydramnios poor pregancy outcomes. Determination of AFI can be used as an adjunct to other fetal surveillance methods. Determination of AFI can be used as valuable screening test for predicting fetal distress in labour, requiring caesarean section.</p><p style="text-align: justify;"><strong>Key Words: Amniotic fluid index, Oligohydramnios, Fetal Distress</strong>.</p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-February-2017/IMJH-FEB-2017-4.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_____________________</h2><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/a-case-series-of-500-melasma-cases-a-descriptive-study/">A Case Series of 500 Melasma Cases: A descriptive study </a></span></strong></h2><p style="text-align: justify;"><strong>Abstract—</strong>Melasma is a third most commonly cited skin disorders was pigmentary problem diagnosed most often, other two are post-inflammatory hyperpigmentation and vitiligo. So this study was conducted on 500 cases of Melasma attending at skin OPD of Charak Bhawan, a hospital attached to SMS Medical College, Jaipur (Rajasthan) with the aim to study its clinical pattern. Severity of Melasma was assessed by MASI. It was observed from this study that centro-facial distribution was found most prevelent (52.2%) pattern of Melasma followed by Malar pattern. Although mean MASI scores was found 12.47±5.093 but majority (53.2%) of cases were of sever grade followed by moderate and mild grade of Melasma. Malar area was most affected area (99.8%) followed by forehead area and chin area. Variation of area affected with Melasma was found significant (p&lt;0.001). It was also observed that darkness as well as homogenecity was significantly more at malar region than that of forehead and chin. So it was also be concluded from this study that Melasma cases who are attending at Skin OPD are having melasma lesion on malar region and of sever grade. Reasons for this observation is o be explored with further research.</p><p style="text-align: justify;"><strong>Key Words: </strong><strong>Melasma, MASI scores.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-February-2017/IMJH-FEB-2017-5.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">______________________</h2><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/accredited-social-health-activist-asha-performance-indicator-assessment-of-jaipur-city-a-cross-sectional-study/">Accredited Social Health Activist (ASHA) Performance Indicator Assessment of Jaipur City: A Cross-sectional Study</a></span></strong></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong> NUHM was launched in 1 May 2013 to improve the health status of the urban population particularly slum dwellers and other vulnerable urban section by facilitating their access to quality health care. And ASHAs are a ‘bridge’ or an interface between the community and health service outlets. NHM set some standard for working of ASHAs. So this study was conducted to assess the status of performance indicator for ASHA in area of Jaipur city. This cross-sectional study was conducted on 172 ASHAs working in Jaipur city. It was observed in this study that more than 80% was achieved in percentage of families counselled, ANC adequately covered, Institutional deliveries and completely immunized for age in 12-23 months age children among ASHA performance indicators. Newborn visit within 1 week of delivery, JSY claims made and newborn who were weighed by ASHAs were achieved of 70-80%. And less than 50% achievement was regarding percentage of children with diarrhoea received ORS and fever cases who received Chloroquine within first week. It can be concluded from this study that best ASHA performance indicator achieved was of percentage of institutional deliveries which is 82.53%, followed by regarding ANC adequately covered with at least 4 visits, Immunization of 12-23 months age, families counselled, newborn visit within 1 week of delivery, JSY claim made, newborn who were weighed, deliveries escorted, children with diarrhoea received ORS and fever cases who received Chloroquine within first week.</p><p style="text-align: justify;"><strong>Key words</strong><strong>: </strong><strong>ASHA, Performance Indicators of ASHA.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-February-2017/IMJH-FEB-2017-6.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_______________________</h2><h2 style="text-align: center;"><strong><span style="color: #ff0000;"><a style="color: #ff0000;" href="http://www.adpublications.org/determinants-of-anemia-in-antenatal-cases-a-cross-sectional-analysis/">Determinants of Anemia in Antenatal Cases: A Cross-sectional Analysis </a></span></strong></h2><p style="text-align: justify;"><strong>Abstract—</strong> Anemia in pregnancy is a major health problem in developing country like India. So this present study was carried out at Dr. Kusum Sharma Hospital Bharatpur (Rajasthan) India, with the aim to find out the determinents of anemia in Antenatal cases attended for delivery. period on pregnancy outcomes. For this study, 100 Antenatal Cases (ANCs) attended for delivery at Dr. Kusum Sharma Hospital Bharatpur (Rajasthan) India were included in this study. These ANCs were interrogated and investigated for hemoglobin estimation. It was found in this study that 63% of proportion of ANCs were having Anemia. Anemia was found to associate with age, residence, education, occupation and parity of ANCs but not with BMI and bad obstetric history of ANCs. Anemia was found significantly more in younger age, less educated and housewives than their counterparts. Likewise ANCs of rural area had more chances of Anemia than those residing in urban areas. And ANCs having either zero parity or parity more than two had more probability to have anemia than their counterparts.</p><p style="text-align: justify;"><strong>Keywords: Antenatal Cases (ANCs), Anemia in pregnancy, Determinants of ANCs </strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-February-2017/IMJH-FEB-2017-7.pdf" target="_blank">Click here to Download Full Paper</a></span></h5>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3968394207189012694.post-10400460478152779842017-02-06T04:57:00.004-08:002017-02-06T04:57:50.505-08:00IMJ Health : January 2017<a href="www.imjhealth.org"><img class="alignnone wp-image-31 size-full" src="https://adpublications.org/wp-content/uploads/2015/11/imjh-banner.jpg" alt="Medical Journal: Published volume-3, Issue-1, January 2017 with adpublications" width="100%" height="40%"></a><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><a style="color: #ff0000;" href="http://www.adpublications.org/status-of-major-infectious-diseases-of-idsp-at-a-tertiary-level-hospital-in-western-rajasthan-in-year-2015-a-record-base-analysis/">Status of major Infectious diseases of IDSP at a tertiary level hospital in western Rajasthan in year 2015: A Record base analysis</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong>The frequent occurrence of epidemics even after the launching of the Integrated Diseases Surveillance Programme (IDSP) was an indication toward inadequacy of the control system. These epidemics/outbreaks may be identified if disease status analysis is done properly. The aim of the this study was to find out status of some of major diseases included in the IDSP in a tertiary level hospital of western Rajasthan. It was a record-based analysis carried out in hospitals attached to SMS medical College, Jaipur (Rajasthan) India. Weekly report of IDSP in 'L' Form was collected of year 2015 from SMS Medical College, Hospitals. Data related to major diseases of IDSP were gathered from these reports. These reports were analysed in percentage and proportion. It was observed among major six diseases studied in this present study, majority of cases were of Swine flue followed by Dengue, Scrub Typhus and Malaria. There was no case of Chikungunia and Enteric Fever. When deaths due to these major six diseases were observed it was found that majority of deaths occurred due to Swine flue followed by Dengue, Scrub Typhus and Malaria. Malaria death was due to Plasmodiun Falcifarrum. Maximum PCR was of Swine flue (42.32%) followed by Dengue (29.16 %), Scrub Typhus (21.87%) and Malaria (6.65%). Maximum PDR was of Swine flue (93.08%) followed by Dengue (3.08%), Scrub Typhus (3.08%) and Malaria (0.77%). Overall Case Fatality (CFR) of these diseases was found 9.2%. Regarding variation CFR of these diseases it was found that maximum CFR was of Swine flue (20.23%) followed by Scrub Typhus (1.29%), Dengue (1.06%) and Malaria (0.97%). This variation of CFR as per the type of diseases was found with significant variation (p&lt;0.001).So more emphasis should be given to more fatal disease like swine flue.</p><strong>Key words: Communicable Diseases, Survillance, IDSP, PCR, PDR, CFR</strong><h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-January-2017/IMJH-JAN-2017-5.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_____________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><span style="color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/seasonal-variation-in-major-post-surgical-site-infection-micro-organism-in-sms-hospital-jaipur-rajasthan-india/">Seasonal variation in major post surgical site infection micro-organism in SMS Hospital Jaipur (Rajasthan) India</a></strong></span></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong> Season seems to have its role in wound infection which is the second commonest nosocomial infection and most troublesome disorder of wound healing. This study was carried out on 100 post-operative cases of Surgical Unit 1<sup>st</sup> of General Surgery Department of Sawai Man Singh Hospital, Jaipur (Rajasthan) India in years 2014. This study aimed to find out the seasonal trend in Post-operative wound infections (PSI). After interview of these, swab from post-operative wound was taken and sent for culture and sensitivity test in Microbiology. Results were inferred by Chi-square test. In this study, post-operative wound infection rate was found 21%. In majority of cases, causative agent found in post-operative infected wound was Staphylococci (90.48%) followed with Streptococci, E. Coli, Klebsella and Pseudomonas. Maximum cases were found in April followed by March, January and none was found in other months but this variation was not found significant.</p><p style="text-align: justify;"><strong>Keywords—</strong> <strong>Post-operative wound Infection, Seasonal Variation, Micro-organism.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-January-2017/IMJH-JAN-2017-7.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_______________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><span style="color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/effect-of-anemia-on-pregnancy-outcome-a-case-control-study/">Effect of Anemia on Pregnancy outcome: A Case-control study</a></strong></span></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Anemia in pregnancy is commonly considered as risk factor for poor pregnancy outcome and can threaten the maternal and fetal life also. So this present cases control study was carried at R. K. Joshi District Hospital Dausa (Rajasthan) India, with the aim to find out the effect of anemia in Antenatal period on pregnancy outcomes. For this study, 50 Antenatal Cases (ANCs) with anemia were selected as study group among ANCs attending for delivery in district hospital Dausa. For control group age and BMI matched 50 normal healthy ANCs without anemia were selected from the same area. ANCs with any other diseases were excluded from the study. It was found in this study that although proportion of ANCs with LSCS, PPH and Sepsis were higher in anemic ANCs but it was not found significant. Likewise IUGR, LBW babies, premature births and still births were more in anemic ANCs but it was found significant only in case of LBW babies. So it can be concluded that anemia in ANCs effect weight of newborn babies born by ANC with anemia.</p><p style="text-align: justify;"><strong>Keywords: Antenatal Cases (ANCs), Anemia in pregnancy, Pregnancy outcomes IUGR , LBW babies </strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-January-2017/IMJH-JAN-2017-10.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">__________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline;"><span style="color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="http://www.adpublications.org/role-of-serum-lipids-and-free-radicals-in-myocardial-infarction-in-niddm-a-case-control-study/">Role of Serum Lipids and Free Radicals in Myocardial Infarction in NIDDM: A Case Control Study</a></strong></span></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Abnormalities that characterizes lipoprotein metabolism in non-insulin dependent diabetes mellitus (NIDDM) patients, fasting concentration of triglyceride rich lipoprotein especially very low density lipoprotein (VLDL) are higher and those of HDL, commonly measured as HDL-c, are lower than among people without diabetes, which leads to increased triglyceride HDL-c ratio and insulin resistance. This type of diabetic dyslipidemia is a major cause of oxidative stress which promote and accelerate atherosclerosis and thus, end organ damage AMI. This present study was carried at the Central Clinical Laboratory MIMSR Medical College Latur, with the aim to find out the role of lipoprotein-triglyceride in myocardial infarction in NIDDM. For this study, patient with myocardial infarction with NIDDM were selected after admitting in MIMSR Medical College Latur. These 25 cases were included in study group and age-matched to these cases 50 healthy subjects were selected as Control group. The lipid profile and total serum lipid peroxides (malondialdehyde) of study and control groups were assessed &amp; compared. It was found that in the control group mean values of total cholesterol was 180.21 ± 18.13 mg % whereas it was 229.21± 23.58 in study group, which was significantly higher in study group. Likewise, mean Serum Triglycerides and Serum Lipid Peroxides (MDA) of study group were also found significantly (p&lt;0.001) higher that of control group (228.14 v/s 99.9 and 410.22 v/s 180.96 respectively). It was also revealed in this study that mean Serum HDL-Cholesterol was found significantly lower in study group whereas LDL-Cholesterol (28.72 v/s 53.83) and VLDL-Cholesterol were found significantly higher in study group that control group (150.61 v/s 106.60 and 46.30 v/s 19.8). So it can be concluded that AMI patients with NIDDM have higher Total Serum Cholesterol, Serum Triglycerides, Serum Lipid Peroxides (MDA), LDL- Cholesterol and VLDL- Cholesterol with lower HDL- Cholesterol.</p><p style="text-align: justify;"><strong>Keywords:</strong> <strong>Diabetic dyslipidaemia, Insulin Resistance, Oxidative Stress Malanodialdehyde and Myocardial Infarction.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-January-2017/IMJH-JAN-2017-12.pdf" target="_blank">Click here to Download Full Paper</a></span></h5>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3968394207189012694.post-67984610907728322322016-12-31T23:41:00.003-08:002016-12-31T23:41:19.875-08:00IMJ Health : December 2016<a href="www.imjhealth.org"><img class="alignnone wp-image-31 size-full" src="https://adpublications.org/wp-content/uploads/2015/11/imjh-banner.jpg" alt="Medical Journal: published its volume-2, Issue-12, December 2016 with AD Publications" width="100%" height="40%"></a><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://www.adpublications.org/experiencing-social-marketing-attitudinal-study-family-planning-addis-ababa-ethiopia/">Experiencing Social Marketing: An Attitudinal Study on Family Planning in Addis Ababa, Ethiopia </a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Issue of family planning has gained attention due to its importance in decision-making about population growth and areas related to the overall socio-economic development of a nation. Social marketing, on the other hand, has gained popularity in addressing issues related to change in social behaviors such as family planning, and particular to developing nations like Ethiopia. This study makes an attempt to relate the idea of social marketing, as an approach of bringing attitudinal changes in the behaviors of individuals toward the concept of family planning and usage of contraceptives. Specifically, the objectives include an examination of the role of social marketing-mix in family planning experiences and to compare the attitudes of men and women toward family planning.</p><p style="text-align: justify;">In order to gather the primary data, structured (draft) questionnaire was prepared and tested through a pilot-study (with 35 respondents). The final survey comprises 150 respondents, selected accidently by having a quota of 50% for each gender. Factor and reliability analysis were used to test the validity and reliability of the scale items. The result revealed that attitude towards family planning and contraceptives usage found being highly affected by the awareness and responsibility towards society/service usage. Therefore, as the marketing activities like promotion increases, awareness is expected to increase, which finally determines favorable attitude towards family planning products/techniques (e.g., contraceptives).</p><p style="text-align: justify;"><strong>Keywords: Social Marketing, Family Planning, Contraceptives, Attitudes, Behavior, Ethiopia.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-December-2016/IMJH-NOV-2016-3.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://www.adpublications.org/status-qnr-aac6-lb-cr-genes-quinolone-resistant-non-fermenters/">Status of qnr and aac(6’)-lb-cr Genes in Quinolone-Resistant Non-Fermenters</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Non-fermenters are aerobic non-spore forming Gram-negative bacilli that either incapable of catabolized carbohydrates as a source of energy or degrade them via oxidative rather than fermentative metabolic pathways. In the group of non-fermenters Pseudomonas aeruginosa is eminent pathogen followed by Acinetobacter baumanni. Both of these organisms are reported for their intrinsic resistance against antibiotics and their ability to acquire gens that encode resistance. Resistant against quinolones like ciprofloxacin is common against Gram’s negative non-fermenters. For most of the mechanism of resistant in both of these organisms against quinolone, is the production of aminoglycoside modifying enzymes, mutations in topoisomerases, up-regulation of efflux pumps and presence of plasmid mediated qnr genes. In this study, during the study period total 94 non-fermenters were isolated from 378 numbers of different clinical specimens. Out of 94; 21 isolates were found resistant against quinolone antibiotics like ciprofloxacin-5 µg, levofloxacin-5 µg , norfloxacin-10 µg, which were subjected for PCR studies to detect resistant genes, only five (23.81%) isolates were found to be associated with aac(6’)-lb-cr and two (9.52%) were found positive for carrying qnrD gense as additional with aac(6’)-lb-cr genes. Organisms that processed qnrD and aac(6’)-lb-cr gens were, Pseudomona aeruginosa, Acinetobacter baumanni , Alcaligenes faecalis , Acinetobacter calcoaceticus, and Pseudomonas sp.</p><p style="text-align: justify;"><strong>Key word</strong><strong>:</strong> <strong>Non-fermenters, Quinolone resistant, </strong><strong>PCR studies</strong>, <strong>QNR, aac(6’)-Ib-cr.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-December-2016/IMJH-NOV-2016-6.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_____________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://www.adpublications.org/knowledge-status-accredited-social-health-activist-asha-jaipur-city/">Knowledge Status of Accredited Social Health Activist (ASHA) of Jaipur City</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong>Government of India launched the National Rural Health Mission (NRHM) on 12th April 2005, to provide accessible, accountable, affordable, effective and reliable primary health care, especially to the poor and vulnerable sections of the population. And ASHAs are a ‘bridge’ or an interface between the community and health service outlets. NHM set some standard for ASHAs. So this study was conducted to assess the knowledge of ASHA of Jaipur city. This cross-sectional study was conducted on 172 ASHAs working in Jaipur city. In the present study, all the ASHAs know their role about Immunization, Ante Natal Care and to inform Sub Centre/PHC/CHC about births and deaths in the village &amp; outbreak of health problem/disease in the community. The majority (&gt;80%) ASHAs knew their role in Post Natal Check-up, counseling women for Birth preparedness, safe delivery, exclusive Breast feeding, complementary feeding, Personal hygiene and sanitation. Promoting hand washing after toilet and before food handling was known to 153 (88.95%) of ASHAs. It was concluded from the study that majority of ASHAs know their role and details of their practices in all expected field except regarding basic sanitation and hygiene. Knowledge of ASHAs regarding their role about basic sanitation and hygiene of community i.e. to 19.19% of ASHAs only. Likewise regarding promote construction of toilet was also known to only 17.44% of ASHAs. Even only 37.79% of ASHAs knew about immunization may be given in mild fever.</p><p style="text-align: justify;"><strong>Key words</strong><strong>: </strong><strong>ASHA, Knowledge Status of ASHA.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-December-2016/IMJH-DEC-2016-7.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">______________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://www.adpublications.org/comparative-outcome-basi-cervical-neck-femur-fractures-fixed-using-dhs-without-de-rotation-screw/">Comparative Outcome of Basi-Cervical Neck of Femur Fractures Fixed Using DHS with and without De-Rotation Screw</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Basicervical fracture necks of femur are intermediate between femur neck fracture and intertrochantric fracture. These fractures having axial and rotational instability are traditionally being treated with DHS. DHS allow solid fixation in two planes only, additional derotation screw allow stability in third plane also.</p><p style="text-align: justify;"><strong>Objective</strong>: To compare outcome of basicervical fracture neck of femur treated with and without derotation screw.</p><p style="text-align: justify;"><strong>Material and Methods:</strong> Patients were divided in two groups i.e. group 'A' and group 'B' each group having 30 patients. Group 'A' patients were treated with DHS with derotation screw and group 'B' patients with DHS alone.</p><p style="text-align: justify;"><strong>Results:</strong> At 12 months postoperatively patients were clinically and radiologically evaluated. All frcture were united in Group 'A' within an average period of 12.5 week while three patients (10%) ended up in non-union in group 'B'. Mean sliding distance in group 'A' was 5.6 mm while it was 6.2 mm in group 'B'. Mean shortening of limb was 3.8 mm in group 'A' which was 4.3 mm in group 'B'. In group 'A' there was no major displacement between the fracture but in group B there was &gt;3 mm displacement in five patients (16.66%). According to modified Harris hip score in group 'A' 26 patients (86.66%) had excellent results, two patients(6.66%)had good results, one patient(3.33%) had fair results and in one patient(3.33%)poor results was obtained.</p><p style="text-align: justify;"><strong>Conclusions:</strong> It can be concluded from study that there were better radiological and clinical outcome in DHS with derotation screw than DHS alone in basicervical fracture neck of femur.</p><p style="text-align: justify;"><strong>Key words:</strong> <strong>Basicervical fracture, DHS, Derotation screw.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-December-2016/IMJH-DEC-2016-8.pdf" target="_blank">Click here to Download Full Paper</a></span></h5>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3968394207189012694.post-72078704099888970722016-12-06T21:45:00.003-08:002016-12-06T21:45:32.481-08:00Medical Journal: November 2016 Issue<a href="www.imjhealth.org"><img class="alignnone wp-image-31 size-full" src="https://adpublications.org/wp-content/uploads/2015/11/imjh-banner.jpg" alt="Medical Journal: AD Publication had published its Volume-2, Issue-11, November 2016 Issue with International Multispeciality Journal of Health (IMJ Health)" width="100%" height="40%"></a><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://www.adpublications.org/outcome-analysis-outpatient-total-knee-total-hip-arthroplasty-follow-upto-three-months/">Outcome Analysis of Outpatient Total Knee and Total Hip Arthroplasty: A Follow up upto three Months</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Traditionally total knee and hip arthroplasty surgeries requires long duartion of hospital stay. More duration of stay has its own disadvantages. So it was tried to developed an accelerated clinical pathway for patients undergoing total knee arthroplasty (TKA) and total hip arthroplasty (THA) who are considered healthy enough for early discharge. Between March 2013 – April2014, 89 TKA and 116 THA were performed to different patients at a single institution by a single orthopedic surgeon. 71 (31 TKA, 40 THA) met the inclusion criteria for the study. All patients received 2 grams of tranexamic acid and 750 mg cefuroxime sodium intravenously at 30 minutes prior to surgery. A multi-modal protocol for perioperative pain management was used for all patients. Out of total 71 patients (12 males, 59 females) with a mean age of 59 years (range, 24-79 years). The mean length of hospital stay was 27,3 hours (range, 15-60 hours). The mean duration of surgery was 92 minutes (range, 75-128 minutes) for TKA, 72 minutes (range, 48-81 minutes) for THA. Combined spinal epidural anesthesia was performed in 55 patients (77%) and general anesthesia in 16 patients (23%). Of the total 71 patients, 51 (71,8%) were discharged within 23 hours after surgery. Only 11(15.5%) were re-addmitted because of minor complains. These results of this study demonstrated that early discharge does not result in significant complications related to the outpatient procedure in selected patients up to three months postoperatively.</p><p style="text-align: justify;"><strong>Keywords: </strong><strong>Outpatient, Total Hip Arthroplasty, Total Knee Arthroplasty, Anesthesia.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-November-2016/IMJH-OCT-2016-7.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_____________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://www.adpublications.org/determination-patterns-eeg-signals-relaxation-music-using-bayesian-networks/">Determination of patterns in the EEG signals during relaxation through music using Bayesian Networks</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Today it is known that the brain waves behave during relaxation through music, however, it is not yet known whether there is a pattern of dependencies between different EEG frequencies during those processes. Brain oscillations are often underestimated as compared to slower oscillations. Mean power spectra of scalp EEG signals exhibit distinct peaks emerging from the general decrease in power with increasing frequency, suggesting the existence of characteristic dependence oscillatory modes in cortical field potentials. The interactions between peaks in different frequency bands, within and between cortical EEG sources, are not well understood. The reviewed evidence supports the theory that relaxation through music can lead to behavioral and neuron chemical changes with benefic effects. This study was to address this concept by focusing on Bayesian Networks (BN) to describe the relationship between the EEG frequencies during relaxation through music. It was obtained a model with 97.7% to accuracy, in which shows the relations between each EEG signals. The dependency probability distribution was calculated, according to the signal amplitude behavior. Music changes the behavior of the low frequency signals, synchronizing them inversely proportional. Delta and theta interactions over Alpha promote increase Alpha 1 powers in relaxation through music. This event is accompanied by synchronized interaction of low-sequence signals, from Beta 1 to Gamma. Alpha 2 remains an independent variable. Further studies are needed to understand the differences between music and their subsequent effects on behavior. However, Bayesian Networks has been show to an excellent tool of EEG signal Analysis.</p><p style="text-align: justify;"><strong>Key word: Bayesian Networks, Brain, Machine learning, Data mining.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-November-2016/IMJH-NOV-2016-4.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_______________________</h2><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><span style="text-decoration: underline;"><a style="color: #ff0000; text-decoration: underline;" href="https://www.adpublications.org/fuzzy-inference-modeling-risk-factors-coronary-diseases-review/">Fuzzy Inference Modeling of Risk Factors in Coronary Diseases : A Review </a></span></strong></span></h2><p style="text-align: justify;"><strong>Abstract- </strong>To estimate the variation in the major risk factors for cardiovascular disease (Hemoglobin HGB; mean corpuscular volume MCV; Mean corpuscular hemoglobin concentration MCHC; Fe and Folic acid), we try preventing according coronary heart disease risk factors observed in elderly men and women in the region of Setif – Algeria. Participants.100 men and women aged 26 to 86 years for whom the physiological parameters were recorded. These parameters are risk factors for cardiovascular disease. The expected analysis was estimated using an artificial intelligence model including the principles of fuzzy logic. Risk factors are inputs of the system and the incidence of coronary heart disease is output. The observed data recorded from Analysis Central Laboratory of Setif university hospital - Algeria. Factors that promote coronary heart disease are inaccurate and uncertain. The effect of these factors varies from person to person. Their consideration as fuzzy variables is perfectly adequate. A database is established. Fuzzy inference rules are highlighted according to the recorded values. An algorithmic application is established making it possible to read instantly the number likely the person with a coronary disease just by the random introduction of the variables at the input of the system.</p><p style="text-align: justify;"><strong>Keywords: Coronary diseases, Risk factors, Artificial intelligence, Fuzzy logic.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-November-2016/IMJH-NOV-2016-9.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">____________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://www.adpublications.org/clinico-etiological-profile-empyema-thoracis-children-descriptive-analysis/">Clinico-etiological profile of Empyema Thoracis in children: A Descriptive Analysis </a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Empyema is an uncommon complication of childhood pneumonia. Although mortality rates in pediatric empyema are very low, empyema causes significant morbidity including substantial health care costs and burden of care. A descriptive observational study was conducted on 40 Empyema Thoracis in 0-12 years aged. Empyema was diagnosed as per “GOLDEN CRITERIA. Clinical profile including signs and symptoms was recorded with biosocial profile. Blood and Plural fluid examinations were also done. Microbiology and histo-pathological examinations were also done. Data collected were analysed, qualitative data were expressed in percentage and quantitative data were expressed in mean ± SD. Mean age of children was 5.01 years with slight female predominance (M:F = 2:3). Mean haemoglobine was 9.45 g/dl, Total leucocytes count (TLC) 17,293 with platelet counts 2.69 lakhs. PH of blood and plural fluid was 7.39 and 6.98 respectively. Cough was the most common complain (in 72%) followed by fever, breathlessness and chest pain. Likewise tackypnea was the most common sign elicited followed by pallor conjunctiva and cervical lymphadenopathy. On examination trachea was shifted either on right or left side in 52% cases, Creptations were observed in 72.5% of cases and Ronchi were observed in one (2.5%) case. Dullness on percussion, decrease air entry and decreased vocal resonance was observed in all the cases. Gram positive cocci and Gram negative bacilli were observed in 25% and 2.5% cases respectively. Out of these micro-organism, Streptococci, Staphylococci and Klebsela Pneumonae were found in 7.5%, 12.5% and 2.55 of cases respectively. Acute inflammation was found in 7.5%, chronic inflammation was found in 7% whereas Koch's was found in 18% of cases in histology.</p><p style="text-align: justify;"><strong>Key word: </strong><strong>Children</strong><strong>, </strong><strong>Empyema Thoracis, Clinico-Etiological Profile.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-November-2016/IMJH-NOV-2016-11.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_____________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://www.adpublications.org/maternal-polycystic-ovary-syndrome-pcos-antenatal-anc-complications-case-control-study/">Maternal polycystic ovary syndrome (PCOS) and Antenatal (ANC) Complications: A Case Control Study </a></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong> Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in women. Evidences shows variable finding regarding it's effect on pregnancy outcomes. This present study was conducted to determine whether maternal polycystic ovary syndrome (PCOS) is associated with adverse pregnancy outcomes in antenatal period. Prospective observational study, carried out in the department of Obstetrics and Gynecology, Indraprastha Apollo Hospitals, New Delhi, including 64 women with PCOS and 64 normal pregnant women between January 2013 and November 2014. It was found that Gestational diabetes mellitus (GDM) was significantly more frequent in the PCOS group than in the control group (p value = 0.009; OR=2.698 (1.213-6.001), this difference was not found statistically significant. Pregnancy induced hypertension (PIH) was also found significantly more frequent in the PCOS group than in the control group (p value=0.014; OR=3.41 (1.176-9.885). Miscarriage rate was not significantly different among two groups. So it can be concluded that women affected by PCOS carry an increased risk of adverse pregnancy outcomes specially GDM and PIH.</p><p style="text-align: justify;"><strong>Key word: Polycystic ovary syndrome (PCOS), </strong><strong>ANC Complications, GDM, PIH.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-November-2016/IMJH-NOV-2016-12.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">____________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://www.adpublications.org/factors-associated-physical-quality-life-diabetes-mallitus/">Factors associated with Physical Quality of Life in Diabetes Mallitus </a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Diabetes is a disease of development involving multisystem so intend to affect quality of life of patients in many ways i.e. Physical, Mental, Social and environmental. So this study was conducted on 250 Diabetes Mellitus patients to study their physical quality of life and its associating factors. It was found that 9.6% of diabetes patients had poor physical quality of life in this study. This physical quality of life is associated with education and socio-economic status of patient but not with age, sex and occupation. Physical quality of life was observed more poor in either illiterates or in secondary educated patients than their other counterparts. Likewise physical quality of life was observed more poor in Class III and IV than Class I, Class II and Class V.</p><p style="text-align: justify;"><strong>Keywords</strong><strong>—</strong> <strong>Diabetes Mellitus, Physical Quality of Life.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://www.imjhealth.org/Paper-November-2016/IMJH-NOV-2016-13.pdf" target="_blank">Click here to Download Full Paper</a></span></h5>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3968394207189012694.post-28116885379459948162016-11-04T06:25:00.001-07:002016-11-04T06:26:16.950-07:00Medical Journal:: IMJ Health:: October 2016 Issue<a href="www.imjhealth.org"><img class="alignnone wp-image-31 size-full" src="https://adpublications.org/wp-content/uploads/2015/11/imjh-banner.jpg" alt="Medical Journal: AD Publication had published its Volume-2, Issue-10, October 2016 Issue with International Multispeciality Journal of Health (IMJ Health)" width="100%" height="40%"></a><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://www.adpublications.org/modeling-preventive-measures-ebola-analysis-epidemic-libya/">Modeling and Preventive Measures of Ebola: An Analysis of an Epidemic in Libya </a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Ebola is a rare virus, which can cause severe acute hemorrhagic fever and high mortality for humans and non-human primates. In 2014, Ebola virus out breaking in West Africa triggered a grave disaster to the people of the world, finally, it has been inhibited successfully under the vaccine and effective drug. In this article, data from patients and deaths due to Ebola were collected, which were reported by WHO. These data were analyzed and researched the spread of Ebola by SEIR model. In this model, basic reproduction number obtained was 15, which was based on the number of dead and patients from June to September in Libya. And according to the sensitivity analysis for basic reproduction number, it was proved that improving vaccination rate and recovery rate of infectious are two effective ways to suppress the spread of the Ebola epidemic. This article gives a detailed and direct scientific theory basis for the control of Ebola virus in the end.</p><p style="text-align: justify;"><strong>Keywords</strong><strong>—</strong> <strong>Ebola, Differential Dynamic Equations, Basic Reproduction Number.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-October-2016/IMJH-OCT-2016-1.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://www.adpublications.org/menstruation-menstrual-hygiene-among-adolescent-girls-ahmadabad-city-descriptive-analysis/">Menstruation and Menstrual hygiene among Adolescent girls of Ahmadabad city: A Descriptive Analysis</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Adolescence proves to be the most vulnerable phase in the path of human life cycle after infancy. Adolescent Girls (AGs) have many issues related to menstruation which is seldom addressed. Unhygienic practices during menstruation endanger the reproductive health and well being of AGs. Hence, a study was undertaken to assess the reproductive health status of Adolescent AGs.</p><p style="text-align: justify;"><strong>Methodology:</strong> A cross-sectional study was carried out among 467 AGs attending Adolescent Friendly Health Service (AFHS) clinics in Ahmadabad city during May 2011 to august 2012.</p><p style="text-align: justify;"><strong>Result:</strong> Mean age of AGs was 14.5<strong>+</strong>2.4 years. Out of 467 AGs, 296 (63.3%) had attained Menarche. Mean age at Menarche was 13.31<strong>+</strong>1.31 years in this study (Fig 1). Source of information regarding menstrual cycle was mother in 77.7% AGs in this study. Dysmenorrhea was present in 59.9% AGs. Dysmenorrhea was seen in 107(67.3%) AG in the late adolescence, 68(53.1%) in mid adolescence and 2(22.2%) in early adolescence. The difference in occurrence of Dysmenorrhea observed in different phases of adolescence was significant (χ2=37.423,Df=2,p&lt;0.0001). Pre-menstrual tension was complained by 27.7% AGs and Vulval pruritus by 2% AGs.</p><p style="text-align: justify;"><strong>Conclusion: </strong>This study highlights the need of AGs to have correct and complete information regarding menstruation at appropriate age from formal channels of communication which is mother in this case. Informal channels such as friends and sister tends to increase the misconception and improper menstrual hygiene which could make the AGs vulnerable to infection.</p><p style="text-align: justify;"><strong>Keywords</strong><strong>—</strong> <strong>Adolescent girls, Menstruation, Dysmenorrhea.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-October-2016/IMJH-OCT-2016-4.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">______________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://www.adpublications.org/superior-orbital-fissure-syndrome-due-metastatic-prostatic-malignancy-case-report/">Superior Orbital Fissure Syndrome due to Metastatic Prostatic Malignancy – A Case Report</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> A 56 years old male patient, a known case of prostatic malignancy with skeletal metastasis presented with ptosis, exotropia, diminished pupillary reflex and limitations in extra-ocular movements of left eye. MRI brain revealed diffuse skull base and leptomeningeal metastasis. Whole body CT scan showed metastasis in ribs, scapula and in pelvic bones. He was diagnosed to have superior orbital fissure syndrome due to metastatic prostatic malignancy and was offered steroids and radiotherapy.</p><p style="text-align: justify;"><strong>Key Words</strong>: <strong>Ptosis, Prostate, Metastasis.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-October-2016/IMJH-OCT-2016-10.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://www.adpublications.org/sex-determination-using-mastoid-process-measurements-dry-skull-bone-descriptive-analysis/">Sex determination using mastoid process measurements of dry skull bone: A Descriptive Analysis</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Study on human skeletal for sex determination has been a topic of interest among researchers. It appears to be the main reliable bone exhibiting sexually dimorphic traits, specially the mastoid region. Present study aims to determine the difference in mastoid morphometry between male and female bone for sex differentiation.</p><p style="text-align: justify;"><strong>Material and methods: </strong>A descriptive observational study was conducted at Department of Anatomy, SMS Medical College, Jaipur between April- December 2014. Forty dry macerated adult Human skulls of age group above 18-25 yrs of known sex were included in which suture between the basiocciput and basisphenoid were united. Vernier Caliper was used for measurements of Mastoid process in Frankfurt’s Plane.</p><p style="text-align: justify;"><strong>Results: </strong>Mastoid length was significantly larger in males as compared to females on both sides (p value &lt;0.05). Cut-off of right mastoid length of 32.39mm and left Mastoid length of 31.71mm were highly accurate in differentiating male and female skull.</p><p style="text-align: justify;"><strong>Conclusion: </strong>The parameters like mastoid process length can be used as predictors to determine gender and could be of immense use in forensic medicine and anthropology and will also serve as a future framework for estimating the craniofacial dimensions of other Indian population.</p><p style="text-align: justify;"><strong>Key word: Mastoid Length, Sex Differentiation, Sex Determination.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-October-2016/IMJH-OCT-2016-14.pdf" target="_blank">Click here to Download Full Paper</a></span></h5>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3968394207189012694.post-82208481162339703402016-10-01T23:41:00.001-07:002016-10-01T23:41:16.061-07:00IMJ Health : September 2016<a href="www.imjhealth.org"><img class="alignnone wp-image-31 size-full" src="https://adpublications.org/wp-content/uploads/2015/11/imjh-banner.jpg" alt="General Medicine, General Surgery, Gynecology &amp; Obstetrics, Pediatrics, Anesthesia, Ophthalmology, Orthopedics, Otorhinolaryngology (ENT), Physical Medicine &amp; Rehabilitation, Dermatology &amp; Venereology, Psychiatry, Radio Diagnosis, Cardiology Medicine, Cardiothoracic Surgery, Neurology Medicine, Neurosurgery, Pediatric Surgery, Plastic Surgery, Gastroentrology, Gastrointestinal Surgery, Pulmonary Medicine, Immunology &amp; Immunogenetics, Transfusion Medicine (Blood Bank), Hematology, Biomedical Engineering, Biophysics, Biostatistics, Biotechnology, Health Administration, Health Planning and Management, Hospital Management, Nephrology, Urology, Endocrinology, Reproductive Biology, Radiotherapy, Oncology and Geriatric Medicine" width="100%" height="40%"></a><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/formaldehyde-exposure-medical-students-short-period-contact-causes-dna-damage-instability/">Formaldehyde exposure in medical students: a short period of contact causes DNA damage and instability</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong> Occupational exposure to formaldehyde (FA) has been related to adverse outcomes. However, a short period of exposure has never been assessed in terms of evaluating DNA. This study conducted on 39 medical students exposed to FA in a university laboratory of human anatomy and aimed to analyze the relationship between FA exposure and DNA damage. The buccal micronucleus cytome assay (BMCyt) was used to evaluate the students at four time points: before FA exposure, after four months of FA exposure, after eight months of FA exposure and after three months without FA exposure (remission period). Pyknotic cells, karyolitic cells, karyorrhetic cells, condensed chromatin, binucleated cells, basal cells differentiated cells, micronucleated cells and nuclear bridges were enumerated. This study shows that FA exposure caused genomic instability in all periods and the remission period was not sufficient to reverse all damage. Thus, prolonged occupational exposure to FA not only causes DNA damage but a shorter exposure period can have the same effect.</p><p style="text-align: justify;"><strong>Keywords</strong><strong>—</strong> <strong>Buccal MNi, DNA Damage, Formaldehyde Exposure, Genome Instability, Medical Students.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-September-2016/IMJH-AUG-2016-7.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">___________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/cutaneous-myiasis-saudi-infant-rare-case-report/">Cutaneous Myiasis in Saudi Infant: A Rare Case Report </a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Myiasis is a rare disease by developing larvae (Maggots) of a variety of fly species within the arthropod order Diptera. Recognition and Management of Myiasis are demanding. Herein we present a 7-months-old Saudi girl presented with multiple skin lesions over her body, clinical diagnosis of skin abscess was made initially. Incision revealed multiple maggots coming from the incision wounds, the larva was extracted and the clean dressing was done. Patient showing complete recovered skin infection. Cutaneous Myiasis is a devastating presentation of a variety of fly species that should be considered in the appropriate clinical setting and recent traveling to the suspicious area.</p><p style="text-align: justify;"><strong>Keywords</strong><strong>—</strong> <strong>Cutaneous Myiasis, Dermatobiahominis.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-September-2016/IMJH-SEP-2016-1.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/quality-life-diabetes-mallitus-patients-descriptive-analysis/">Quality of Life in Diabetes Mallitus patients: A Descriptive Analysis </a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Diabetes is a disease which is on continuous increase specialy in country like India. It involve is a multisystem so intend to affect quality of life of patients. So this study was conducted on 250 Diabetes Mellitus patients to observe their quality of life on various domains viz Physical, Mental, Social and environmental through WHOQOL-Bref questionnaire. It was found that 54.4% were unable to level their quality of life, they say neither good nor bad. But 23.2% were feeling bad and 22.4 % were feeling good about their quality of life. Whereas regarding patient's satisfaction about their health 39.2% were unable to level their quality of life and 35.6% were dissatisfied and 25.2 % were satisfied with their health. Significantly more cases were unable to understand about their quality of life than their satisfaction to their health. It was also found that Physical quality of life was affected most followed by environmental, psychological and social dimension of quality of life.</p><p style="text-align: justify;"><strong>Keywords</strong><strong>—</strong> <strong>Diabetes Mellitus, Quality of Life, WHOQOL-Bref.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-September-2016/IMJH-SEP-2016-5.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_____________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/standard-precautions-status-nursing-personnels-tertiary-level-care-hospital-rajasthan-descriptive-analysis/">Standard precautions Status of Nursing Personnel’s of Tertiary Level Care Hospital of Rajasthan: A Descriptive Analysis</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>In India, communicable diseases account for nearly half of its disease burden. Nursing staff plays a major role in the health care delivery system; therefore their role in prevention of infectious diseases by taking care of universal precautions is very important. So this study was conducted aimed to know the status of universal precaution practices of nursing personnel of a tertiary care hospital of Rajasthan. 100 nursing professionals were interrogated and supervised for practice and as per a semi- structured schedule. It was concluded from this study that all nursing personals were washing hands after toilet and hands were washed properly but they were reluctant regarding every time washing hands before starting work, washing with antiseptic after contacting contaminated gauze, linen etc. Apron was weared by 89% but none was wearing mask while dealing with patients. And only 40% were wearing gloves while handling patient but none was changing gloves before handling new patient. It was also concluded that all the nursing personals were using sterile syringes and new syringe was taken every time for new patients which was destroyed after use but only 43% were wearing glove while taking out needle/syringes from its wrapper and only 29% nursing personals were recapping syringes after use. Proper disposal of syringes, soiled infected gauze, needles, I.V. Drip set and gloves was done by almost all nursing personals</p><p style="text-align: justify;"><strong>Key words</strong>- <strong>Nursing Personnel. Universal Precautions, Practice</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-September-2016/IMJH-SEP-2016-6.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">__________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/association-dental-diseases-personal-hygiene-school-children-rural-rajasthan-india/">Association of Dental Diseases with Personal Hygiene in School Children of Rural Rajasthan, India</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Dental diseases are health problem of developing countries mainly because of the fact that in developing countries these diseases are given less importance. People also not much bothered about children's personal hygiene and dental diseases until it leads to toothache and disability. And at this time it may lead to complication and expensive treatment. So a community based study was conducted in rural area of Jaipur district to find out the association between dental diseases and personal hygiene. From schools of Amer tahsil of Jaipur district 1600 students were examined for dental diseases and interrogated and observed for personal hygiene. Association of personal hygiene with dental diseases like Dental Carries, Dental Fluorosis, Malocclusion and Periodontitis was found out with chi-square test. It was revealed that Dental diseases like Dental Carries, Dental Fluorosis, Malocclusion and peridontitis all are associated with personal hygiene. Dental carries increases as the personal hygiene worsen and likewise same was observed with Malocclusion but Dental Fluorosis was observed in inverse direction mean as the personal hygiene improves the chances to have Dental Fluorosis increases. Periodontal it was found significantly more when personal hygiene of child is either poor or good, when it is fair chances of having Periodontal diseases were significantly less.</p><p style="text-align: justify;"><strong>Keywords</strong><strong>—</strong> <strong>Dental Carries, Personal Hygiene, Dental Fluorosis, Malocclusion, Periodontitis</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-September-2016/IMJH-SEP-2016-7.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">______________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/association-bronchial-asthma-allergic-rhinitis-cross-sectional-study/">Association between Bronchial asthma and Allergic Rhinitis: A Cross-sectional Study </a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Bronchial Asthma is a public health problem in childhood. Allergic Rhinitis (AR) is a very common co-morbidity with Bronchial Asthma. So this study was conducted on 250 Primary School Children to find prevalence of Bronchial asthma and Allergic Rhinitis and their association. It was observed from this study that 17.2% of children were having Bronchial asthma and 20.4% were found to have allergic Rhinitis. Co morbidity of Bronchial Asthma with Allergic Rhinitis was observed in 11.6 % of these cases. It was also observed that Bronchial Asthma was observed significantly more in males than females and children of walled city than outer city. So it was concluded form this study that chances of occurring Allergic Rhinitis is significantly more with Bronchial Asthma than the chances of Bronchial Asthma with Allergic Rhinitis</p><p style="text-align: justify;"><strong>Keywords</strong><strong>—</strong> <strong>Bronchial Asthma</strong><strong>, A</strong><strong>llergic Rhinitis</strong><strong>,</strong><strong> School Children</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-September-2016/IMJH-SEP-2016-8.pdf" target="_blank">Click here to Download Full Paper</a></span></h5>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3968394207189012694.post-77324371586322992242016-09-01T06:19:00.003-07:002016-09-01T06:19:38.631-07:00Medical Journal: IMJ Health: Volume-2, Issue-8, August 2016<a href="www.imjhealth.org"><img class="alignnone wp-image-31 size-full" src="https://adpublications.org/wp-content/uploads/2015/11/imjh-banner.jpg" alt="Medical Journal: Volume-2, Issue-8, August 2016" width="100%" height="40%"></a><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/critical-review-different-sociological-perspectives-toward-conceptualization-management-health-services/">Critical Review of Different Sociological Perspectives toward Conceptualization of Management of Health Services </a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Theories of sociology of health and illness defy the biomedical model of disease as many of them are ‘concerned with the social origins and influence on disease’ rather than pathological reasons only. There are five sociological perspectives of health and illness: Social Constructionism, Marxism, Feminism, Foucaulian analysis, and Functionalism. These different sociological perspectives were critically analyzed through this article as for better understanding of conceptualize management of health services Social Constructionism is a sociological perspective focus on the sociology of knowledge and reality. Marxism focuses on equity between social classes and emphasizes inequality in capitalist society. According to Marxism inequality of distribution healthcare services in capitalist society arise from the marginalization of some categories of the population who do not contribute to economic system. Feminist theory is to understand and explore the multiple and various reasons for inequalities between the genders. In the healthcare sector, feminists believe that healthcare organizations are hierarchical systems, where doctors (usually men) are at the top level while nurses (usually women) have a lower level of importance. Main areas that Foucault theory emphasizes are power, knowledge and discourse. Foucault believes that there is a relationship between power and knowledge. This relationship appears clearly in the health field, as medical professionals comprise a group of people who have special knowledge (medical knowledge) and they gain the power from this knowledge. Finally, functionalism is a sociological perspective that describes society as a system made up of ‘interconnected and interrelated parts’ and it highlights the relationships between different parts of society In conclusion, the five sociological perspectives provide holistic picture about conceptualization of healthcare systems.</p><p style="text-align: justify;"><strong>Keywords</strong><strong>— </strong><strong>Social Constructionism, Marxism, Feminism, Foucaulian analysis, Functionalism</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-August-2016/IMJH-AUG-2016-1.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/perforated-jejunal-gastrointestinal-stromal-tumorgist-presenting-acute-abdomen-rare-presentation/">Perforated Jejunal Gastrointestinal Stromal Tumor(GIST) Presenting as Acute Abdomen: A Rare Presentation</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Gastrointestinal stromal tumors (GIST) are rare neoplasms of the gastrointestinal system. A case of 40 year old man having tense tender abdomen with obliterated liver dullness and shifting dullness was presented in emergency, it was further investigated on X rays, where pneumoperitoneum was found. This case was then decided to go for Laparatomy after routine investigations to further explore. On exploratory laparatomy, diffuse peritonitis with brown coloured fluid was observed. A 10 x 5 x 7 cm mass was found having an opening communicating with the gut lumen was present around 10 cm from the ligament of treitz. However, no adjacent structures, liver or parietal peritoneum seemed to be involved. Gross examination of the specimen revealed an outward bulging mass, which was centrally necrotic and contained hemorrhagic-necrotic material. On histo-pathological examination, features suggestive of gastrointestinal stromal tumor (GIST) with mixed spindle and epitheoid pattern was seen. Mitoses were slightly increased (&lt;5/10' HPFs) leading to the conclusion of LOW GRADE GIST with tumor free margins of gut (R0 resection). So it was a case of Gastrointestinal stromal tumors (GIST), which is a rare medical presentation. So it was decided to report this case as a rare case presentation.</p><p style="text-align: justify;"><strong>Keywords:</strong><strong> Gastrointestinal Stromal Tumors (GIST), Neoplasms, Gastrointestinal system</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-August-2016/IMJH-AUG-2016-2.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">__________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/microbiological-study-pharyngitis-teaching-hospital-chinakakani-andhra-pradesh-india/">Microbiological Study of Pharyngitis at a Teaching Hospital, Chinakakani, (Andhra Pradesh) India</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>The aim of the study was to observe the prevalence of various microorganisms from throat swab specimens in patients attending a tertiary care hospital at Chinakakani, Guntur. Throat swab specimens were collected aseptically from 100 patients and cultured on appropriate bacteriological media. Isolates were identified by biochemical tests &amp; antimicrobial susceptibility performed by standard methods. Out of 100 Samples, culture was positive in 25 samples. So Bacterial infection was found in 25% of Pharyngitis. Streptococcus pyogenes was the commonest isolate, followed by Staphylococcus aureus and Candida albicans. Majority of bacteria were Streptococcus pyogenes, Staphylococcus aureus and Candida albicans. In 60% it was mixed infection. The susceptibility patterns varied depending on the drugs, but most of the organisms were susceptible to penicillin, erythromycin and vancomycin. Improved personal hygiene and health education of the masses on how to care for ear, nose and throat will greatly reduce these microbial infections. This study will be useful for control strategies and for predicting pathogen prevalence in throat swabs.</p><p style="text-align: justify;"><strong>Keywords</strong><strong>—</strong> <strong>Pharyngitis, Streptococcus Pyogenes, Throat Swab</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-August-2016/IMJH-AUG-2016-3.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">______________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/factors-associated-dementia-special-reference-serum-homocysteine-level-case-control-study/">Factors associated with Dementia with special reference to Serum Homocysteine Level: A Case-Control Study</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Prevalence of degenerative dementias and dementias associated with cerebrovascular disease is increasing with the time. Dementia is one of the most significant public health problems. Demographic data, medical history, general biochemical data and serum total homocysteine (tHcy) levels was used in this study to examine the differences between dementia and normal control groups. A cross-sectional study was conducted on 236 individuals who were above the age of 65 years. These participants went through the Mini-Mental State Examination (MMSE), Clinical Dementia Rating (CDR), demographic characteristics, biochemical data and tHcy level. Each of the above mentioned factors was assessed. There were significant differences in the history of hypertension, diabetes mellitus, marital status, alcohol consumption (AC), BMI value, and triglyceride (TG) and serum tHcy levels. The logistic regression analysis showed significant differences in marital status, AC and tHcy. So it can be concluded that elevated serum tHcy, no AC and no partner are associated with the risk of dementia in elders of Southern Taiwan. It needs further researches to identify and reduce the risk of dementia.</p><p style="text-align: justify;"><strong>Keywords:</strong><strong> Dementia</strong><strong>; </strong><strong>Homocysteine</strong><strong>; </strong><strong>partner; alcohol consumption.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-August-2016/IMJH-AUG-2016-4.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">______________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/morphometric-study-sacral-hiatus-caudal-epidural-block/">Morphometric study of Sacral Hiatus for Caudal Epidural Block</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong> Study of variation of sacral hiatus in dry bone is important as it determines access of sacral hiatus for caudal epidural anaesthesia and analgesia. So this descriptive observational study was conducted on 80 adult sacrum bones were studied at department of Anatomy, SMS Medical College, Jaipur with the aim to examine Morphometry of Sacral hiatus including shape, length, A-P diameter at apex and transverse width at base. Most commonly found shape of sacral hiatus in this study was inverted U/V shape. Length of sacral hiatus ranged 6 to 43 mm with more than half cases having length between 10-20 mm. Most sacrum (81.25%) had anterio-posterior diameter of 4 to 8 mm. Half of the sacrum had transverse width at sacral cornua between 9-13 mm. It can be concluded that anatomical variations in sacral hiatus are cause of caudal epidural anaesthesia failure and procedure related complications. Understanding these variations may improve success of caudal epidural anaesthesia and decrease incidence of complications. So this study will be useful to increase success rate of epidural anaesthesia.</p><p style="text-align: justify;"><strong>Keywords</strong><strong>—</strong> <strong>Sacrum, Sacral hiatus.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-August-2016/IMJH-AUG-2016-10.pdf" target="_blank">Click here to Download Full Paper</a></span></h5>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3968394207189012694.post-36995474101437226012016-09-01T05:51:00.001-07:002016-09-01T06:18:55.352-07:00Medical Journal: IMJ Health: Volume-2, Issue-7, July 2016<a href="www.imjhealth.org"><img class="alignnone wp-image-31 size-full" src="https://adpublications.org/wp-content/uploads/2015/11/imjh-banner.jpg" alt="Medical Journal July 2016 Issue" width="100%" height="40%"></a><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/glycolic-acid-peels-versus-salicylic-acid-peels-atrophic-acne-scars-randomized-comparative-study/">Glycolic Acid Peels Versus Salicylic Acid Peels in Atrophic Acne Scars : A Randomized Comparative Study</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong>Scarring is a well recognized sequel of acne. Because of the prevalence of acne scarring and strong negative emotions it engendering affected patients, several approaches have been developed for its treatment with varying success rates. Glycolic acid 50% peels and Salicylic acid 30% Peels are classified as superficial peel and are consider safe in Indian patients. While chemical peels are widely being used in India for various indications. There is a paucity of published studies on the efficacy of chemical peel specifically for acne scars in Indian patients.</p><p style="text-align: justify;">Purpose of this study was to evaluate and compare the effectively of these two agents in the treatment of acne scars. Eighty cooperative patients[≥18 years age]with predominantly moderately atrophic acne scarring were randomly divided into 2groups of 40each.Patients of group A received Glycolic acid peels and patients in group B, Salicylic acid was used at 3weeks interval for four sessions. Objective evaluations of treatment response. Subjective assessments of treatment response were also done separately by the researcher, an independent observer and the patients separately.</p><p style="text-align: justify;">Both of agents led to significant reduction in the total acne scar score[p&lt; 0.05]but no significant difference was noted between the two peels. Side effects were lesser with Salicylic acid peel.</p><p style="text-align: justify;">Hence conclusion was drawn that both 50% Glycolic acid and 30% Salicylic acid peels are safe in Indian skin and equally effective in the treatment of mild to moderate acne scarring.</p><p style="text-align: justify;"><strong>Keywords</strong><strong>—</strong> <strong>Acne </strong><strong>Scare, Acne Peels, Glycolic acid peel</strong><strong>, S</strong><strong>alicylic acid peel</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-July-2016/IMJH-JUN-2016-3.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/effect-root-heal-therapy-rht-asthma-quincy-experiment/">Effect of Root Heal Therapy (RHT) on Asthma: A Quincy Experiment </a></strong></span></h2><p style="text-align: justify;"><strong>Abstract—</strong>Asthma is a chronic inflammatory disease of the airways that affects people of all ages. It may manifest as severe attacks, which can require urgent health care. It causes limitations in daily activities, loss of school and work days, lung function impairment, reduced quality of life, and an adverse socioeconomic burden. There is no cure of asthma, once it is diagnosed it can be managed by a good treatment plan, so that patient can live a better quality of life with the disease. This present study was planned to compare the effect of traditional treatment alone and in combination with Root Heal Therapy on asthma cases. A Quincy experiment was conducted on 60 patients of Asthma, who were taking treatment from a physician working in Jaipuriya Hospital, Jaipur. Out of these 60 asthama patients who were receiving traditional treatment, 30 patients were given this RHT along with traditional treatment. Baseline status of asthma and Asthma Quality of life Questionnaire (AQLQ) was assessed. These cases were followed for 18 months, again they were assessed as per AQLQ. Changes in status of asthma in both the group over this period were compared with Chi-square test and Unpaired 't' test. It was found that significantly more cases were benefited with this RHT in the form of number of spells of asthma, duration of illness due to asthma, mean days of activity loss and proportion of cases needed hospitalization during last one year. Pulmonary Function test were also better in experimental group than control group. Although mean number of eosinofills decrease was also found higher in experimental group but it was not found significant. It is concluded that Quality of life of these asthma cases were significantly improved on physical, emotional, social and occupational domains of life in cases with RHT than the cases only on traditional treatment.</p><p style="text-align: justify;"><strong>Keywords</strong><strong>—</strong> <strong>Asthma, Root Heal Therapy (RHT), Pulmonary function tests, Asthma Quality of life Questionnaire (AQLQ).</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-July-2016/IMJH-JUL-2016-3.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong>Association of Tuberculosis and Biochemical Nutritional Status A Case-Control Study </strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong>Pulmonary tuberculosis is a very infectious disease and is a public health problem specially in developing country like India. Association between tuberculosis and nutritional status is assumed by various authors at time to time. So this present study was aimed to where there is any association between tuberculosis and nutritional status of individual. For study purpose 40 newly diagnosed tuberculosis taken in one group (Group A), 30 cases of relapse cases of tuberculosis in group 'B' and 30 matched healthy controls in group 'C'. Protein and micronutrient levels of each of the subject were assessed and compared group wisely. Significance of difference was inferred by Unparied 't' Test. It was found in this study that Protein, Albumin, Alkaline Phosphatase and Vitamine D were significantly lowered in Tubercular cases than controls. So it can be concluded that tuberculosis is more common in nutritionally deficit individuals.</p><p style="text-align: justify;"><strong>Keywords: Tuberculosis, Nutritional Status, Protein Level, Macronutrient Level</strong>.</p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-July-2016/IMJH-JUL-2016-4.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_____________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/socio-demographic-profile-diabetic-cases-attended-diabetic-clinic-tertiary-hospital-western-rajasthan-india/">Socio demographic profile of Diabetic cases attended at Diabetic clinic of a tertiary hospital of western Rajasthan India</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong>Diabetes Mellitus is a lifestyle disease it is increasing with increase of urbanization. It is a side effect of development. Nowadays with the development of community it is also on increase trend. So this study was conducted on 250 patients of diabetes attended at Diabetic Clinic of SMS Hospital Jaipur, with the aim to find out socio-demographic profile of these diabetes cases. General information about the these case was gathered in a pre-designed semi-structured performa. It was found in this study that majority of cases were in age group of 31 to 45 years with slight male dominance. Education wise majority were Graduate followed by secondary educated and others. Likewise occupation wise majority were either unemployed of professional. Majority of cases were from Socio economic Class II and III. So it can be concluded that diabetes is a disease of middle age slight male dominance and of educated middle class individuals. Further studies are required to establish this fact.</p><p style="text-align: justify;"><strong>Keywords</strong><strong>—</strong> <strong>Diabetes Mellitus, Socio-demographic profile</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-July-2016/IMJH-JUL-2016-5.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">______________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/acute-illness-episodes-limitation-daily-activity-life-geriatric-population-jaipur-period-prevalence-study/">Acute Illness episodes and Limitation of Daily Activity of Life in Geriatric population in Jaipur: A Period Prevalence Study</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong> Elderly population is increasing due to demographic shift in favor of geriatric population. This age group is susceptible for many acute and chronic health problems which may lead to limitation daily activities of life. Study of acute and chronic health problems with limitation daily activities of life of this population is required to frame comprehensive policies to make ageing a comfortable experience. So this cross-sectional period prevalence study was carried out from September 2009 to August 2010 on 1620 elderly residing in Municipal corporation area of Jaipur city with the aim to study episodes of acute health problems within last one month and limitation daily activities of life within last years of this population of elderly population. Study population consist of 1620 elderly with M:F ratio 0.95. Mean age of elderly was 66.08 years with slight female predominance i.e. 1048 females for 1000 males in Jaipur city. It can be concluded from 41.6% of elderly were having difficulty in performing activity of daily living and this difficulty was found more in females that males and in older ages. It was also revealed that 44.37 of elderly had one or more episodes of acute illness in last one month. These number of episodes of acute illness in last one month was found more in males and in older age groups.</p><p style="text-align: justify;"><strong>Key words- Elderly, Geriatric, Acute Illness, Daily activities of Life.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/Paper-July-2016/IMJH-JUL-2016-6.pdf" target="_blank">Click here to Download Full Paper</a></span></h5>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3968394207189012694.post-50789615735160512432016-07-01T04:05:00.000-07:002016-07-01T04:05:04.768-07:00IMJ Health : June 2016<a href="www.imjhealth.org"><img class="alignnone wp-image-31 size-full" src="https://adpublications.org/wp-content/uploads/2015/11/imjh-banner.jpg" alt="Medical Journal June 2016 Issue" width="100%" height="40%"></a><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/survey-sexual-knowledge-attitudes-desire-behavior-among-university-students/">A Survey of Sexual Knowledge, Attitudes, Desire and Behavior among University Students </a></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong>Sexual health (SH) and sexual behavior of young people have become a growing public concern. But few studies have been conducted to investigate the prevalence and psychosocial correlates of this phenomenon.</p><p style="text-align: justify;"><strong>Purpose:</strong> To understand college students’ sexual knowledge (SK), sexual attitudes (SA), sexual desire (SD) and sexual behavior (SB).</p><p style="text-align: justify;"><strong>Methods</strong><strong>: </strong>A self-reported questionnaire survey on SK, SA, SD, and SB was conducted among 520 university students. Their demographic data, SK, SA, SD, and SB were assessed.</p><p style="text-align: justify;"><strong>Results:</strong> A total of 500 students completed the questionnaire. The SKS total score had a mean of 23.05; 105 (21.0%) subjects had had premarital sex; 121 (24.2%) had a partner; 117 (23.4%) had a medical educational background. The results demonstrated an increased risk of premarital sex amongst males and subjects with the risk factors of smoking, drinking, having a partner, and having higher levels of SD and SK and more open SA.</p><p style="text-align: justify;"><strong>Conclusions:</strong> This study provides support for the idea that university students lack SK (especially regarding contraception knowledge), even though the students had a medical educational background. Additionally, a considerable amount of them engaged in premarital SB. Our findings also suggest that university students need sex education, particularly in combining sexuality with their life, in relating to others maturely as a sexual individual, in employing contraception, and in preventing sexually transmitted diseases (STDs). Our study suggests that interventions aimed at expanding university students’ SK and other related skills are required.</p><p style="text-align: justify;"><strong>Keywords-- </strong><strong>University students;</strong><strong> Sexual behavior; Sexual knowledge; </strong><strong>Sexual attitude</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/admin/issues_detail/gallery/IMJH-APR-2016-1.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">__________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/hutchinson-gilford-progeria-syndrome-associated-hypothyroidism-rare-case-report/">Hutchinson – Gilford Progeria Syndrome with associated hypothyroidism: A rare case report</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong>Hutchinson–Gilford Progeria Syndrome is a rare genetic disorder characterized by premature aging involving the skin, bones, heart, and blood vessels. We report a five year old female child with clinical manifestations characteristic of this syndrome. This child had a senile look with large cranium, frontal bossing, sparse light brown hair and dilated visible veins over the scalp. Other features were prominent eyes, beaked nose, micrognathia, sclerodermatous changes in both feet and legs, laxed and atrophic skin over dorsum of both hands and mottled pigmentation over trunk. Decreased high-density lipoprotein (HDL) levels was characteristic of the syndrome. This case is reported for its rarity and uncommon relationship with hypothyroidism.</p><p style="text-align: justify;"><strong>Keywords: Hutchinson, Gilford Progeria Syndrome, Hypothyroidism.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/admin/issues_detail/gallery/IMJH-MAY-2016-2.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">______________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/comparison-corneal-endothelial-cell-counts-patients-controlled-diabetes-mellitus-type-2-non-diabetics-phacoemulsification-intraocular-lens-implantation/">Comparison of Corneal Endothelial Cell Counts in Patients with Controlled Diabetes Mellitus (Type 2) and Non Diabetics after Phacoemulsification and Intraocular Lens Implantation</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong>Cataract is the main cause of blinding and Diabetes Mallitus (DM) is the one of major cause of early cataract. Patents of DM has poor So this study is aimed to assess the corneal endothelial cell count in patients of DM (Type 2)after phecoemulsification and intra-ocular lens implantation. This study was conducted on 66 patients of cataract, out of which 33 patients with and 33 without DM (Type 2). Both groups underwent pre operative investigation and ophthalmological assessment and then undergo phacoemulsification done by same surgeon. After phacoemulsification all cases were followed up on 1<sup>st</sup> day ,1<sup>st</sup> week,1 month and 3 months and Uncorrected visual acquity (UCVA), Best corrected visual acquity (BCVA),corneal thickness, endothelial cell count and morphometric analysis were recorded. Both groups parameters were compared with unpaired 't' test. At the end of 3 months it was found that the mean endothelial cell loss in Group A(Diabetic) was 6.9% ± 0.6 and in Group B (control) was 2.4% ± 0.3 suggesting that the corneal endothelium in diabetic patients is under metabolic stress, and weaker against mechanical loads, such as phacoemulsification, than that in non-diabetic subjects. Despite good glycemic control and no corneal abnormalities before surgery. Endothelium in diabetic subjects is more vulnerable to surgical trauma and has a lower capability in the process of repair. These findings should be considered when planning cataract surgery in patients with diabetes.</p><p style="text-align: justify;"><strong>Keywords: Diabetes Mellitus Type 2, Glycemic Control, Corneal Endothelial Cells, Phacoemulsification, Cell Repair</strong>.</p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/admin/issues_detail/gallery/IMJH-MAY-2016-11.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">__________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/awareness-infant-feeding-nursing-program-student-survey/">Awareness of Infant Feeding: Nursing Program Student Survey </a></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong>Child nutrition is an important factor for their physical and neuro-psychological development and overall health not only in childhood but also in adulthood. The World Health Organization recommends that mothers should be informed about the advantages and the enormous benefits of breastfeeding. It is part of the professional responsibility of nurses to promote good health care habits among women in fertile age and raise the overall health awareness of parents. The aim of the study was to research the knowledge of infant feeding among students in the Nursing Program. An anonymous survey was conducted among students in the Nursing I class. The survey group included a total of 51 students, ranging from 19 to 47 years old. All analyses were conducted using Statgraphics Plus software, version 2.1. It was found that students rate the advantages of breastfeeding for the mother as follows: faster recovery (29.4%); reduces the risk of cancer in women (21.6%), faster recovery of the weight of the mother before birth (27.5%). The majority of students were able to point out specific steps to successful breastfeeding and the respective time schedules of infant feeding (70%). The study found less satisfactory results of the participants’ knowledge on how to prepare infant dairy blends 19 (30.3%) and the duration of breastfeeding in 11 (21.6%). It can be concluded that students in the Nursing Program demonstrate good knowledge of infant nutrition.</p><p style="text-align: justify;"><strong>Keywords:</strong> <strong>Infant</strong><strong> Nutrition, Health Awareness Promotion, Student Knowledge, Nurse, Education. </strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/admin/issues_detail/gallery/IMJH-JUN-2016-1.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_______________________</h2><h2 style="text-align: center;"><span style="color: #ff0000;"><strong><span style="text-decoration: underline;"><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/relation-type-architecture-interpersonal-relationship-spiritual-health-resident/">Relation between Type of Architecture, Interpersonal Relationship and Spiritual Health of Resident </a></span></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong>By providing proper architecture as per the need and behaviour of the individuals a person may be satisfied with surrounding that may affect spiritual health of individual and in turn the overall health. So this study was conducted on two type of housing society with the aim to find out relationship between type of architecture, interpersonal relationship and spiritual health of their residents.</p><p style="text-align: justify;"><strong>Methodology:</strong> A comparative observational was conducted on two type of housing society having same SES status class I but with different type of architecture. Various components of architecture of their houses was assessed of these houses and general information gathered from head of family. Interpersonal relationship of societies was assessed by applying 9 itemed self reported Relationship Structures (ECR-RS) questionnaire for neighbors on head of family. Spiritual health of head of family was assessed with Spiritual Health Assessment Scale (SHAS). The relationship between type of architecture, interpersonal relationship and level of spiritual health was inferred by Chi-square test and Unpaired 't' test.</p><p style="text-align: justify;"><strong>Result &amp; Conclusion:</strong> It was also found out that Interpersonal relationship were significantly better of society having architecture preferring more of comfort and ambiences than safety and vice versa. Likewise spiritual health score was observed significantly higher in occupants having architecture preferring more of comfort and ambiences than safety and vice versa.</p><p style="text-align: justify;"><strong>Keywords—</strong> <strong>Architecture, Interpersonal Relationship, Spiritual Health </strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/admin/issues_detail/gallery/IMJH-JUN-2016-4.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_______________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/association-spiritual-health-psycho-wellness-first-mbbs-students/">Association of Spiritual Health and Psycho wellness in First MBBS Students</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong>Spiritual health is not given its due importance since long time. But nowadays modern medicine is seen in relation to spiritual health. and studies were conducted to find out its effect in various diseases. So this study was conducted on medical students of SMS Medical College, Jaipur (Rajasthan) India. aimed to assess the spiritual health and its association with psycho wellness. A cross-sectional study was conducted on 1<sup>st</sup> MBBS students present on the day of survey were given spiritual health assessment scale (SHAS) to assess the their spiritual health. Then these students were screened through Modified Mini Scale (MMS) to found out zone of psycho wellness i.e. red and orange zone of psycho-wellness. Association was inferred by Chi-square test and ANOVA with Post-hoc Tukey test. Out of 230 students attend on the day of survey, majority of students i.e.164(71.3%) were having good spiritual health. Likewise only 132 students (57.39%) were in green zone (no disease zone), while 36(15.65%) students were in orange (borderline) and 62 students (26.96%) were in red zone (Psychiatric disease zone) of psycho-wellness. On analysis it was found that Mean scores of spiritual SHAS of green zone was significantly high than mean SHAS scores of other zones. Majority of students were having poor spiritual health and this spiritual health was strongly associated with psycho-wellness of students. Poorer the spiritual health of students leads to poorer the psycho-wellness of students.</p><p style="text-align: justify;"><strong>Keywords</strong><strong>—</strong> <strong>Spiritual health, Psycho-wellness</strong><strong>, </strong><strong>Spiritual Health Assessment Scale (SHAS), Modified Mini Screen (MMS), Medical students</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/admin/issues_detail/gallery/IMJH-JUN-2016-5.pdf" target="_blank">Click here to Download Full Paper</a></span></h5>Anonymousnoreply@blogger.com0tag:blogger.com,1999:blog-3968394207189012694.post-15777767582282317302016-06-07T22:13:00.002-07:002016-06-07T22:16:19.721-07:00IMJ Health : Volume-2, Issue-5, May 2016<a href="www.imjhealth.org"><img class="alignnone wp-image-31 size-full" src="https://adpublications.org/wp-content/uploads/2015/11/imjh-banner.jpg" alt="Medical Research Journal" width="100%" height="40%"></a><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/idiopathic-linear-calcinosis-cutis-case-report/">Idiopathic Linear Calcinosis Cutis - A Case Report</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong>Linear calcinosis cutis is a very rare disorder; reported in association with lichen sclerosus atrophicus, scleroderma, after intravenous infusion of calcium and acute monocytic leukemia. In available literature idiopathic Zosteriform Calcinosis Cutis is yet to be described. Eight year old child presented with spontaneous painful, slowly progressive, linear band like nodules over right half of the chest and back of trunk. It is a rare presentation in Skin Department. On the basis of clinical, laboratory investigation and histopathology a diagnosis of Linear Calcinosis Cutis was made. So it was decided to report this rare case of idiopathic Zosteriform Calcinosis Cutis because of unusual presentation and rarity of the disorder.</p><p style="text-align: justify;"><strong>Keywords: Linear Calcinosis, Zosteriform Calcinosis Cutis, LSA, Scleroderma.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/admin/issues_detail/gallery/IMJH-MAY-2016-2.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">___________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/survival-rate-teeth-replantation-permanent-incisors-relation-defined-parameters-interventional-study/">Survival Rate of Teeth after Replantation of permanent incisors in Relation to defined Parameters: An Interventional Study </a></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong>Treatment of severely traumatized teeth is known to be a challenge in oral surgery. In particular, severe tooth trauma in children is difficult to treat, mainly because of damage to the periodontal ligament, unphysiologic storage of the tooth and the growing jaw of these patients.</p><p style="text-align: justify;">In this present clinical study, teeth with severe trauma were treated using an extra-oral endodontic method. Auto-alloplastic replantation involves using a titanium post as endodontic filling prior to replantation. Aim of this study was to determine survival rate of such replanted permanent teeth in relation to defined parameters that may influence survival. In this study, 44 patients with 58 replanted teeth were evaluated.</p><p style="text-align: justify;">Out of 58 teeth, 28 were avulsed and 30 teeth were dislocated; 24 teeth healed with a functional periodontal ligament (functional healing), 8 teeth healed with ankylosis and a further 8 showed replacement resorption. Infection-related resorptions were present in 2 teeth, which were removed after two months. Other 16 cases could not be assessed. 5-year survival rate according to Kaplan-Meier analysis was 83.9% and estimated time of survival was 88.5 months. Avulsion and storage had no significant effect on tooth loss (p=0.178). Mature teeth had a significantly higher 5-year survival rate (92.2%) than immature teeth (72.4%, p = 0.041, log rank test).</p><p style="text-align: justify;">It can be concluded that auto-alloplastic replantation is a reliable method in dental trauma treatment. This method is suitable with a high rate of success for avulsed or severely traumatized teeth.</p><p style="text-align: justify;"><strong>Keywords: Dental Trauma, Avulsion, Replantation, Extra-Oral Endodontic Treatment.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/admin/issues_detail/gallery/IMJH-MAY-2016-3.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/school-based-filaria-transmission-assessment-survey-purba-medinipur-district-west-bengal-india-2014/">School Based Filaria Transmission Assessment Survey at Purba Medinipur District, West Bengal; India in 2014</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong>Lymphatic Filariasis is one of the neglected tropical diseases of world. India was set a target to eliminate lymphatic filarial within the year 2015 by administering Mass Drugs Administration (MDA) with diethyl carbamazine and albendazole for five consecutive years. MDA coverage was more than 80% - 92% of different MDA rounds in Purba Medinipur district. Impact of MDA programme was assessed by searching microfilaria through night blood survey. Prevalence of microfilaria was 2.4% to zero in all sentinel sites. Finally transmission assessment survey (TAS) as per WHO guidelines - 2011 of microfilaria was conducted on September and October’ 2014 among student of class I and II for making decision to stop or continue MDA. This district was sub-divided into three evaluation units (EUs), named Evaluation Unit-I, Evaluation Unit-II and Evaluation Unit-III to implement TAS programme. Sample Survey Builder (SSB) tool was used for sampling. Cluster survey was conducted with critical cut off value 20 in each EU. Immuno-chromatographic test (ICT) card was used to detect microfilaria among school students of class I and II (6 - 7 years age). All students of class-I and II of selected school were tested with ICT card, no sampling interval. Among the total enrolled school student of class-I and II, 3.67% were tested for microfilaria with ICT card. Among them, 51.3% were boys and 47.3% were girls. Out of total 5108 children surveyed only three (0.06%) was found positive for filarial antigen. All three cases had migratory history to filaria endemic areas and remain with relatives for &gt;11 months. As proportion of positive cases did not cross the critical cut off value. So these three Evaluation Units were qualified to stop further MDA.</p><p style="text-align: justify;"><strong>Key word: Microfilaria, Transmission Assessment Survey, Purba Medinipur, West Bengal.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/admin/issues_detail/gallery/IMJH-MAY-2016-4.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">____________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/treatment-therapies-renal-cell-carcinoma-elderly-descriptive-analysis/">Treatment Therapies in Renal Cell Carcinoma in elderly: A Descriptive Analysis</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong>Kidney cancer accounts for 63% of cancers that affect the elderly and access to innovative therapies are needed to diagnose and treatment. So this study was conducted with the aim to find out the type of better therapy in renal cancer in elderly. This study was conducted on 21 cases of renal cell cancer in first group and 64 cases in group II . Use of humanized monoclonal antibodies administered at a dose of 10 mg / kg in combination with the alpha allIFN 9 (MUI) dose subcutaneously three times a week for three months with a positive response at 12 months in 91% of cases. AC of the kidney is a typical disease of geriatric and the prognosis is greatly influenced by other underlying conditions, surgery is the treatment of choice healing while finding difficulty in implementing patient with: renal insufficiency, solitary kidney, or in 30% of cases (occasional) in late-stage cancers. the chemotherapy used in association to IFN led to a partial response in the progression of the disease 15% of cases. <strong>R</strong>esults show that in these cases treated with this therapy had encouraging results in terms of complete response, partial response and stable disease. Disappointing results reported (chemo, radio,) in this study have led to the use of biological response modifiers establishing itself as the treatment of choice (first results) in advanced kidney cancer, in combination with lIFN 2alfa. Additional molecular biology studies are useful for better understanding of the mechanisms that regulate the aging process and the onset of illness in old age.</p><p style="text-align: justify;"><strong>Keywords- Renal Cell Cancer, Surgery, Chemotherapy, Radiotherapy, Geriatrics.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/admin/issues_detail/gallery/IMJH-MAY-2016-5.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">_______________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/internet-addiction-pattern-among-high-school-students-jaipur-city-descriptive-study/">Internet Addiction Pattern among High School Students of Jaipur City: A Descriptive Study</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong> This present study was conducted on high school students to find out patterns of internet use and prevalence of Internet addiction among high school students. Seven hundred students of three English medium schools of Jaipur city were selected by convenient sampling technique who returned the completed forms. Young’s Internet Addiction Test (IAT) Internet addiction or problematic Internet use was considered when IAT score was ≥50. Out of these 700 students surveyed, 250 (28.57%) students were having Internet addiction. Internet Addiction was found significant more (p &lt; 0.05) in males, prolonged users, and younger age of exposure to Internet and high socioeconomic status than their counterparts. In near future Internet addiction may be an important clinical entity. It needs extensive research. All high school students must be screened for Internet addiction and vice versa.</p><p style="text-align: justify;"><strong>Keywords:</strong> <strong>Internet, Students, Internet Addiction Test</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/admin/issues_detail/gallery/IMJH-MAY-2016-6.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/effect-mifepristone-uterine-fibroid-special-reference-symptoms-size/">Effect of Mifepristone on Uterine Fibroid with special reference to Symptoms and its Size</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract: </strong>Uterine Fibroids are most common growth of female reproductive tract in premenopausal women. Non surgical treatment options for this have limitations. So this Prospective interventional study was conducted to evaluate the effect of low dose Mifepristone treatment for 3 months on fibroid size and related symptom.</p><p style="text-align: justify;"><strong>Patients: </strong> Twenty five patients with symptomatic fibroid, aged 20-50 years.</p><p style="text-align: justify;"><strong>Intervention:</strong> Patients received 10mg Mifepristone daily for 3 months</p><p style="text-align: justify;"><strong>Method: </strong>Baseline data regarding fibroid volume, Hb value, PBAC (Pictorial Blood Assessment Chart) &amp; VAS (Visual analogue Scheme) score were recorded and these data regarding above parametres again collected at the end of 1<sup>st</sup> month &amp; 3<sup>rd</sup> months of therapy.</p><p style="text-align: justify;"><strong>Results:</strong> Mifepristone treatment significantly reduced fibroid mean volume from 91.13cm<sup>3</sup> at enrollment to 38.73cm<sup>3</sup> after 3months of treatment. Mean PBAC score was reduced for 111.52 at enrollment to 2.36 at the end of 3<sup>rd</sup> month of therapy. At 3 months 22 of 25 case (88%) developed amenorrhoea. At the end of therapy hemoglobin mean value was raised by 2.38 gm/dL from the baseline mean value of 8.70mg./dL. There were no major side effects during the course of the study and treatment was well tolerated.</p><p style="text-align: justify;"><strong>Conclusion:</strong> Low dose Mifepristone (10mg) reduces fibroid size and related symptoms with no side effects among women with symptomatic fibroids.</p><p style="text-align: justify;"><strong>Key Words: Mifepristone, Leiomyoma, Fibroid Volum, Menorragia and Amenorrhoea</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/admin/issues_detail/gallery/IMJH-MAY-2016-7.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">______________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/effect-custom-made-splint-first-carpo-metacarpal-joint-osteoarthritis-quincy-experiments/">Effect of custom made splint in first carpo-metacarpal joint Osteoarthritis: A Quincy Experiments</a></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong> Custom- made splints are in use of treatment of osteoarthritis but there are very few studies in this regards i.e. effectiveness of use of these custom-made splints. So this present Quincy experiment interventional study was conducted to evaluate the effectiveness of custom-made splints (short dynamic splint) on pain, function, grip strength and key pinch in patients with first carpometacarpal (CMC) joint OA (grade 2<sup>nd</sup> and 3<sup>rd</sup>) in comparison to conventional treatment. Sixty patients with CMC joint osteoarthritis were randomly assigned to the splint (group A) or non splint group B) treatment. So 30 CMC joint osteoarthritis patients (grade 2<sup>nd</sup> and 3<sup>rd</sup>)were given custom-made splints (short dynamic splint)and 30 CMC joint OA (grade 2<sup>nd</sup> and 3<sup>rd</sup>)were given conventional treatment. Both groups were comparable statistically in both the groups (P&gt;0.05) as per age, sex etc. In follow up assessment at 4th &amp; 8<sup>th</sup> week, the Splint group shows significant improvement in all the outcomes (pain, grip and pinch strength) measures at all follow up except DASH score improvement at 2<sup>nd</sup> follow up in comparison to non splint group. So it can be concluded that the splint group shows significant improvement in all the outcomes (pain, grip and pinch strength) measures at all follow up except DASH score improvement at 2<sup>nd</sup> follow up in comparison to non splint group. Result of present study supports that rehabilitation intervention (Short Custom-Made splint) can significantly benefits to individuals with early osteoarthritis and by it we can delay the need for surgical intervention.</p><p style="text-align: justify;"><strong>Keywords: CMC joint osteoarthritis, custom-made splints.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/admin/issues_detail/gallery/IMJH-MAY-2016-8.pdf" target="_blank">Click here to Download Full Paper</a></span></h5><h2 style="text-align: center;">____________________________</h2><h2 style="text-align: center;"><span style="text-decoration: underline; color: #ff0000;"><strong><a style="color: #ff0000; text-decoration: underline;" href="https://adpublications.org/awareness-perception-sexually-transmitted-disease-sti-females-cross-sectional-study/">Awareness and Perception of Sexually Transmitted Disease (STI) in females: A cross sectional study </a></strong></span></h2><p style="text-align: justify;"><strong>Abstract</strong><strong>—</strong>Reproductive tract infections (RTIs) including sexually transmitted infections (STIs) is a public health importance as it adversely impacts the reproductive health of people. So this present study was conducted on 360 females of slum area of Jaipur city to assess the awareness about STI/RTI and their perception and practices. Prevalence of RTI/STI among females (15-49 years) of slum area of Jaipur was found 38.2%. Awareness regarding symptoms of RTI/STI, mode of its spread and its prevention was 39.7%, 33.6% and 28.6% respectively. Regarding treatment seeking behavior for RTI/STI more women from higher socioeconomic status as well as higher educational status were opting for taking treatment. This awareness not found to be affected by literacy level of females.</p><p style="text-align: justify;">Perception and practices regarding choice of health facility for treatment of RTI / STI, it was observed that 57.8% females were of opinion that treatment for RTI / STI should be taken, 32.5% of the females actually took the treatment and 42.2% of females believed that there is no need of treatment. Maximum females (23.6%) believed that treatment should be taken from lady doctor. Among those who took the treatment, half (42.3%) of them took treatment from lady doctor.</p><p style="text-align: justify;"><strong>Keywords: Reproductive Tract Infections (RTIs), Sexually Transmitted Infections (STIs), Awareness, Perception and Practices.</strong></p> <h5 style="text-align: center;"><span style="color: #dd3333;"><a style="color: white; text-decoration: none; border: 1px solid black; padding: 5px; background-color: #dd3333; border-radius: 5px;" href="http://imjhealth.org/admin/issues_detail/gallery/IMJH-MAY-2016-9.pdf" target="_blank">Click here to Download Full Paper</a></span></h5>Anonymousnoreply@blogger.com0